New York State Emergency Medical Technician (EMT) Practice Exam

What is the most appropriate first action when dealing with a significant laceration in the pelvic area?

1. Apply direct pressure

2. Utilize a tourniquet

3. Administer pain medication

4. Evaluate for shock

The correct answer is: Apply direct pressure

Applying direct pressure is the most appropriate first action when dealing with a significant laceration in the pelvic area due to the critical need to control bleeding. Direct pressure is a fundamental technique used in emergency care to minimize blood loss from an open wound. The pelvis houses several major blood vessels, and significant lacerations in this area can lead to life-threatening hemorrhaging. By applying direct pressure to the area of the laceration, you encourage clot formation and help stabilize the patient's condition until more advanced medical care can be initiated. This action demonstrates a quick response to a critical problem, providing immediate assistance and reducing the risk of shock due to blood loss. While utilizing a tourniquet may be indicated in cases of severe extremity bleeding, it is generally not the first response for pelvic injuries, as tourniquets can cause additional complications and should be reserved for specific scenarios. Administering pain medication may be necessary later, but it doesn’t address the immediate concern of bleeding. Evaluating for shock is important, but it comes after making efforts to control any significant bleeding.