West Coast EMT Block One Exam

What is the first action to take when approaching a semiconscious patient with a laceration in a vehicle?

1. Apply a vest-style extrication device before attempting to move the patient

2. Direct your partner to apply manual in-line support of the patient's head

3. Slide a long backboard under his buttocks and lay him sideways on the board

4. Apply a cervical collar and quickly remove the patient with a clothes drag

The correct answer is: Direct your partner to apply manual in-line support of the patient's head

When approaching a semiconscious patient with a laceration in a vehicle, the correct first action is to direct a partner to apply manual in-line support of the patient's head. This is crucial because the patient's altered level of consciousness may indicate potential spinal injury. Providing manual in-line support stabilizes the head and neck, minimizing any movement that could exacerbate a spinal cord injury. It is essential to ensure that the patient's spine remains as aligned as possible during the initial assessment and subsequent interventions. By securing the head and neck, this action helps maintain spinal integrity before any further steps, such as extrication or application of a cervical collar, take place. This shows a priority for spinal stabilization, which is a fundamental principle in trauma care, especially in cases involving potential head or neck injuries. In contrast, other options, while important in their contexts, do not prioritize immediate stabilization of the patient’s spine first, which is critical in this scenario. The correct handling of the situation starts with ensuring the head and neck are secured to prevent further injury.