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

When spinal injuries are suspected, the EMS provider should FIRST:

1. Hyperextend the neck to secure the airway

2. Determine the extent of the paralysis

3. Apply an extrication collar

4. Apply manual stabilization and secure the airway

The correct answer is: Apply manual stabilization and secure the airway

When spinal injuries are suspected, prioritizing patient stabilization is essential before any further interventions. Applying manual stabilization of the head and neck is critical as it minimizes any potential movement that could exacerbate a spinal injury. This action helps to protect the spinal cord while ensuring that the airway is secured. After this step, other interventions, such as applying an extrication collar, can follow. However, manual stabilization must occur first to keep the spine in a neutral position and limit any movement that could lead to further injury. Ensuring that the airway is secure is also paramount, especially in trauma cases, as compromised airway management can have dire consequences. The emphasis on stability and maintaining a secure airway underscores the principle of providing safe and effective patient care in emergency situations.