NREMT EMR First Responder

Category - Patient Assessment

Which of the following contacts is considered significant pathogen exposure?
  1. An EMR touches the saliva of a 3-year-old male who has been spitting and coughing
  2. A 42-year-old has bloody hands associated with a cut and grabs the arm of an EMR
  3. Shortly after arriving at the scene of a “sick male,” a homeless man begins coughing in the ambulance. It is later determined that he has active Tb
  4. A 21-year-old male states that he is HIV positive and has been having a significant cough for 3 weeks
Explanation
Answer: C - Active Tb is easily transmissible in an enclosed environment such as an ambulance. The other scenarios are not considered to be significant exposures. It should be noted that each of the individuals should be treated with respect and that decisions on universal precautions be determined by evidence, not stereotypes.
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