NREMT Emergency Medical Technician (EMT) Cognitive ExamEMS OperationsEasy
An EMT is performing a scene size-up at a single-vehicle collision involving a car that struck a utility pole. The pole is visibly damaged, and wires are lying on the ground near the vehicle. What is the MOST critical immediate action the EMT should take?
- ADirect bystanders to stay away from the scene and assist with traffic control.
- BAttempt to shut off the vehicle's ignition and disconnect the battery.
- CApproach the vehicle cautiously to assess the patient's condition.
- DEstablish a safe zone and await the arrival of the power company.
Show answer & explanationAnswer & explanation
Correct answer: D. Establish a safe zone and await the arrival of the power company.
Damaged utility poles and downed power lines pose an extreme electrocution hazard. The EMT's priority is personal safety and the safety of others by establishing a safe zone and waiting for qualified personnel (power company) to secure the scene before approaching.
Why the other options are wrong
- A. While directing bystanders is important, it is secondary to establishing a safe zone for the EMT and the entire scene from the electrical hazard.
- B. Approaching a vehicle with downed power lines is extremely dangerous and could lead to electrocution.
- C. Approaching the vehicle before the scene is secured from electrical hazards is life-threatening.
Scene Safety: Electrical Hazards
When downed power lines or damaged electrical equipment are present at a scene, the area is considered extremely dangerous due to electrocution risk.
- Never touch downed wires or objects in contact with them.
- Establish a safe zone outside the danger area (e.g., one full span of the pole).
- Call for the power company immediately to de-energize the lines.
Memory trick: My patients need me, but I'm no good if I'm fried; safety first, then I can ride.