New York State Basic Emergency Medical Technician (EMT-B) Practice Exam

In an unwitnessed collapse scenario, what is the first step you should take?

1. Call for help

2. Give 2 minutes of CPR before leaving to activate the emergency response system

3. Start compressions immediately

4. Check for responsiveness

The correct answer is: Give 2 minutes of CPR before leaving to activate the emergency response system

In an unwitnessed collapse scenario, the recommended first step is to check for responsiveness. This is crucial because it allows the responder to determine if the individual is conscious or unconscious. Assessing responsiveness helps to ensure that the person requires immediate assistance. If the person shows no signs of responsiveness, it reinforces the need for urgent action, such as activating the emergency response system and performing CPR if necessary. Starting compressions immediately can be appropriate in certain circumstances, particularly if the situation strongly indicates cardiac arrest. However, without first assessing responsiveness, the responder might miss critical information about the patient's condition. Similarly, calling for help is also vital but typically should follow the assessment of responsiveness to ensure that the emergency response system is engaged based on the results of that assessment. In an unwitnessed collapse, the proper sequence is to first evaluate the situation and confirm the lack of responsiveness before proceeding with CPR or making the call for assistance. This structured approach aligns with established emergency protocols, ensuring a methodical response to potentially life-threatening situations.