Emergency Medical Technician (EMT) Intermediate Practice Exam

When extricating a semiconscious patient in respiratory distress from a vehicle, what should you do?

1. Apply a C-collar and rapidly remove him on a long backboard

2. Stabilize the head and neck before moving him

3. Administer supplemental oxygen prior to extrication

4. Wait for additional personnel to assist in the move

The correct answer is: Apply a C-collar and rapidly remove him on a long backboard

The situation involves a semiconscious patient in respiratory distress, which makes it crucial to prioritize their airway and mobility. Applying a C-collar and rapidly removing the patient on a long backboard ensures that the patient's spinal alignment is maintained while facilitating a quick exit from the environment that poses further risks. Speed is vital in emergency scenarios, especially with a patient struggling to breathe, as the longer they remain in the vehicle, the more compromised their respiratory status may become. Using a long backboard allows for a controlled extrication process that minimizes the risk of exacerbating any potential spinal injuries while also providing support for the patient during transport. Addressing airway concerns is paramount in such situations, and doing so in a manner that protects the spine facilitates the overall care and urgency required for a patient in respiratory distress. While stabilizing the head and neck before moving, administering supplemental oxygen, or waiting for additional personnel might be critical in other scenarios, they do not effectively address the immediate need for swift removal and airway management in this specific context. The combination of using a C-collar and extricating on a backboard directly impacts both the speed of care and the safety of the patient during this urgent situation.