NREMT EMR First Responder

Category - Special Patient Populations

When evaluating a 4-year-old male who has fallen out of a bunk bed, what is the most appropriate approach to examining the patient?
  1. Immediately hold him down to the ground because he could have a spinal injury
  2. Allow the parent or guardian to assist, as the patient is more likely to stay calm
  3. Strap the child to a papoose board as it is in his best interest
  4. Assume that if he is crying he is not injured
  5. All of the above
Explanation
Answer: B - When caring for infants and children, it is usually best to allow the parent, guardian, or caregiver to assist with the evaluation. A child is likely to move less and be more cooperative if he or she is comfortable. While there are occasions where restraining a child is necessary, the EMR should first evaluate the patient as he/she is found.
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