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

What should be included in the care of a patient with suspected internal bleeding?

1. Allow the patient to eat and drink

2. Splint all suspected fractures without delaying transport

3. Maintain the patient's position

4. Apply heat packs to the abdomen

The correct answer is: Splint all suspected fractures without delaying transport

When caring for a patient with suspected internal bleeding, the priority is to minimize the risk of further injury and prioritize patient stability during transport. This often involves splinting suspected fractures, which can help reduce pain and prevent movement that might exacerbate internal bleeding. However, if reasonable suspicion exists, the emphasis should be on transporting the patient swiftly to medical facilities, as time is crucial in these circumstances. In contrast, allowing the patient to eat and drink can pose a risk if surgery is needed, as it may lead to complications related to anesthesia. Maintaining the patient's position should be focused on comfort and ensuring that their airway remains clear, but it doesn't always require strict adherence to a fixed position that may limit care. Applying heat packs to the abdomen is generally contraindicated in cases of suspected internal bleeding, as heat can exacerbate bleeding. The decision to prioritize splinting fractures aligns with the need to stabilize the patient while preparing for transport, highlighting the importance of a balanced approach to both fracture management and the treatment of suspected internal bleeding.