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

What should be done first when treating a conscious patient with a suspected spinal injury?

1. Perform a thorough neurological exam

2. Ask about allergies and past medical history

3. Apply a cervical collar and secure the patient

4. Transport the patient immediately to a hospital

The correct answer is: Apply a cervical collar and secure the patient

When treating a conscious patient with a suspected spinal injury, the primary concern is to stabilize the patient's spine and prevent further injury. Applying a cervical collar and securing the patient is essential because it immobilizes the cervical spine, minimizing the risk of exacerbating any potential injury while also providing necessary support. Securing the patient in this manner not only helps to protect the spinal cord but also prepares them for safe transport. Other actions such as performing a thorough neurological exam or gathering medical history, while important, should come after immediate spinal stabilization to ensure that the patient's condition does not worsen during the process. Additionally, transporting the patient immediately without first addressing spinal stabilization could lead to serious complications if there is a undetected spinal injury. Therefore, prioritizing spinal immobilization is the most critical first step in this scenario.