Emergency Medical Technician (EMT) Intermediate Practice Exam

What is the best practice when dealing with a facial trauma patient regarding airway assessment?

1. Intubate immediately

2. Assess for breathing without removal of any foreign object

3. Take detailed notes but do nothing

4. Secure the airway with supplemental oxygen

The correct answer is: Secure the airway with supplemental oxygen

In the context of managing a patient with facial trauma, securing the airway is the foremost priority. When dealing with facial injuries, it is crucial to maintain a clear airway because swelling, bleeding, or obstruction can significantly compromise breathing. Administering supplemental oxygen can help ensure that the patient receives adequate oxygenation, especially if they are exhibiting signs of respiratory distress or impaired ventilation. Supplemental oxygen is also beneficial while preparing for further interventions, such as potential intubation, which may be necessary if the airway becomes compromised. This practice helps stabilize the patient's condition, particularly if they are experiencing difficulties related to their injuries. Moreover, it aligns with standard emergency protocols that prioritize airway management, especially in trauma patients. Other practices, such as intubating immediately, may be warranted in more severe cases, but it is not always the first step without a complete assessment of the patient's airway status. Assessing breathing without removing foreign objects can lead to additional complications, and taking detailed notes without active intervention does not address the immediate needs of the patient. Therefore, providing supplemental oxygen is a proactive approach that supports the patient's respiratory status while allowing for further assessment and management.