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

Which action is NOT appropriate during the management of a burn victim?

1. Removing smoldering clothing

2. Giving oral fluids

3. Cooling the burn area with water

4. Providing pain relief as needed

The correct answer is: Giving oral fluids

In the management of a burn victim, giving oral fluids is generally not appropriate, especially in the initial stages of care. The concern with administering oral fluids lies in the risk of potential airway compromise, particularly if the burn victim is in respiratory distress or has suffered significant burns that might affect their ability to swallow safely. In these instances, the priority is to ensure the patient's airway is maintained, and intravenous (IV) fluids are often preferred for rehydration due to the possibility of severe injuries. In contrast, the other actions listed are important components of burn management. Removing smoldering clothing is critical to prevent further thermal injury. Cooling the burn area with water helps to reduce the temperature of the burn, which can limit tissue damage and alleviate pain. Providing pain relief is essential since burns can be extremely painful, and managing pain improves the patient's comfort and overall outcome.