Practice Quiz

NREMT EMR First Responder

Category - Special Patient Populations

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The EMR responds to the location of a 6-year-old male who fell from his scooter while traveling down a long hill. He is found on the road with abrasions to both knees, a deformed right wrist, and a large abrasion on the left side of his forehead. He is unresponsive and breathing at 6 times per minute. His heart rate is 80 and cap refill is 3 seconds. What should the EMR do first?
  1. Place the child on a back board due to a possible neck injury
  2. Provide positive pressure ventilation with supplemental oxygen
  3. Splint the wrist, which is likely fractured
  4. Clean and dress all the wounds
  5. Apply high flow oxygen via a non-rebreather mask
Explanation
Answer: B - It is imperative that the EMR manage the airway and breathing issue first. The child has a slow respiratory rate, which is likely causing hypoxia; thus, the slow heart rate. While it is likely prudent to place the child in c-spine precautions first, priority is always airway and breathing.
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