Practice Quiz

NREMT EMR First Responder

Category - Patient Assessment

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The EMR is waiting for the arrival of the ambulance to transport an 8-year-old male who has fallen from a platform at school. When reassessing the patient, the EMR notes that while his vital signs have remained stable, his level of consciousness has diminished. What is the next step for the EMR?
  1. Nothing as the child’s vital signs are stable
  2. Immediately call the responding crew and let them know the child is dying
  3. Reassess the patient starting from the primary assessment in order to help identify any injury that may have been missed. The EMR should then update the responding ambulance if there is time
  4. Start high flow oxygen on the patient as he may have an airway obstruction
  5. None of the above
Explanation
Answer: C - When a patient deteriorates, the EMR should immediately reassess the patient starting with the primary assessment. Any new findings should be addressed. Patient care always takes priority over communication; thus, advising the incoming unit should be done after the patient has been reassessed.
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