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

A single EMS provider encounters a non-breathing, pulseless victim of an MVA suspected of having a spinal injury. What should the EMS provider do?

1. Begin CPR immediately

2. Turn the victim's body as a unit and begin CPR

3. Lift the victim to assess injuries

4. Call for backup before moving the victim

The correct answer is: Turn the victim's body as a unit and begin CPR

In the scenario, the priority is to provide care for a non-breathing, pulseless victim who may have a spinal injury. When a person is unresponsive and lacks a pulse, immediate intervention is critical. However, since spinal injuries may be present, moving the patient requires careful consideration to avoid exacerbating any potential spinal damage. Turning the victim's body as a unit before beginning CPR is essential because it helps maintain spinal alignment while allowing the EMS provider to perform necessary life-saving actions. This technique minimizes movement of the spinal column, reducing the risk of further injury. After ensuring stabilization of the spine, the provider can promptly initiate CPR to support circulation and oxygenation. This approach balances the urgent need for CPR with the need to protect the potential spinal injury, making it the most appropriate choice in this critical situation.