Emergency Medical Technician (EMT) Intermediate Practice Exam

A 28-year-old female was in an accident and complains of chest pain. As your partner stabilizes her head, what is the best action to take next?

1. Apply a cervical collar

2. Administer 100% oxygen via a nonrebreathing mask

3. Take vital signs immediately

4. Prepare for immediate transport

The correct answer is: Administer 100% oxygen via a nonrebreathing mask

In this scenario, providing 100% oxygen via a nonrebreather mask is the most appropriate action to take following stabilization of the patient's head. The presence of chest pain, especially after an accident, raises concerns for potential trauma that could lead to conditions such as pneumothorax, hemothorax, or other respiratory complications. Administering high-flow oxygen ensures the patient receives optimal oxygen saturation, which is critical in managing any potential hypoxia that may arise from compromised lung function or circulation. By opting for oxygen administration, you are addressing a vital aspect of patient care that can help prevent further deterioration, especially if there may be underlying respiratory issues. This initial oxygen therapy can also aid in monitoring the patient's response and vital signs afterward, helping to assess the effectiveness of your intervention. Addressing other actions such as applying a cervical collar or taking vital signs is also necessary, but in an emergency setting, immediate oxygen delivery plays a crucial role in managing the patient's respiratory needs, which is often a priority in trauma cases. Transport may still be important, but stabilizing and treating the patient's immediate needs for oxygen comes first, especially with the suspicion of possible trauma.