Emergency Medical Technician (EMT) Intermediate Practice Exam

Before attempting to start CPR on a patient, what is the first consideration you should make?

1. Presence of a pulse

2. Scene safety

3. Patient's responsiveness

4. Family presence

The correct answer is: Scene safety

Before initiating CPR, the most critical and immediate consideration is scene safety. Ensuring the environment is safe for both the responder and the patient is paramount, as even the most urgent medical intervention can become hazardous if the rescuers are in danger. When approaching a situation where CPR may be required, checking for possible threats such as traffic, unstable structures, or aggressive individuals is vital. If the scene is not safe, first responders should take steps to secure the area or obtain help to mitigate any hazards. Only once scene safety is confirmed can a responder proceed to assess the patient and determine the appropriate course of action, including evaluating the presence of a pulse or responsiveness. Other considerations, such as the presence of a pulse or the patient’s responsiveness, follow in the priority sequence after ensuring safety, as they entail engaging with the patient. Family presence may be important for emotional support or communication but is not a primary factor when determining whether to start CPR.