NREMT Emergency Medical Technician (EMT) Cognitive ExamMedical EmergenciesHard
A 6-month-old infant is found unresponsive with a temperature of 105°F (40.6°C) and a generalized tonic-clonic seizure. His parents report a recent viral illness. What is the most appropriate initial action for the EMT?
- ATransport immediately without further intervention.
- BInitiate rapid cooling measures.
- CAdminister high-flow oxygen and maintain airway.
- DAdminister anticonvulsant medication rectally.
Show answer & explanationAnswer & explanation
Correct answer: C. Administer high-flow oxygen and maintain airway.
The infant is experiencing a febrile seizure, which, while often benign, still requires immediate attention to the airway and breathing. During any seizure, there is a risk of airway compromise and hypoxia. The initial priority is always airway management and ensuring adequate oxygenation. While cooling is important, it comes after securing the airway.
Why the other options are wrong
- A. Transport is necessary, but critical interventions like airway management and oxygenation should be initiated prior to or during transport.
- B. Rapid cooling measures are important for high fever, but not the absolute first priority over ensuring a patent airway and adequate oxygenation.
- D. Anticonvulsants may be indicated, but airway and breathing management are always the immediate priority during an active seizure.
Febrile Seizure Management
Emergency management of seizures in infants/children associated with high fever, prioritizing airway and breathing, followed by fever reduction and transport.
- Common in 6 months to 5 years.
- Often related to rapid temperature rise.
- Airway management and oxygenation are paramount.
- Cooling measures are important for fever reduction.
Memory trick: Airway First, Then Cool