NREMT Emergency Medical Technician (EMT) Cognitive ExamEMS OperationsEasy
An EMT arrives on scene to find an unconscious patient in a vehicle that has crashed into a utility pole. There are downed power lines visible and arcing near the vehicle. What is the MOST appropriate initial action for the EMT?
- AImmediately attempt to extricate the patient from the vehicle.
- BApproach the vehicle cautiously to assess the patient's airway.
- CEstablish a safe zone and request the power company to de-energize the lines.
- DUse a non-conductive object to move the downed power lines away from the vehicle.
Show answer & explanationAnswer & explanation
Correct answer: C. Establish a safe zone and request the power company to de-energize the lines.
Scene safety is paramount, especially with hazards like downed power lines. Approaching an energized scene puts the EMT and others at extreme risk. The safest action is to establish a safe zone and call for expert assistance.
Why the other options are wrong
- A. Attempting extrication without addressing the electrical hazard is a critical safety violation.
- B. Approaching the vehicle puts the EMT at immediate risk of electrocution and violates scene safety principles.
- D. Attempting to move downed power lines, even with a non-conductive object, is highly dangerous and should only be done by trained professionals.
Scene Safety (Electrical Hazards)
Ensuring the safety of EMS personnel, the patient, and bystanders from electrical hazards, especially downed power lines, before initiating patient care.
- Never approach a vehicle with downed power lines until the power is confirmed off.
- Establish a safe zone (e.g., one full span of utility pole away).
- Call for the power company and fire department for assistance.
Memory trick: Your Safety First, Then Crew, Then Patient, Then Public.