New York State Emergency Medical Technician (EMT) Practice Exam

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What is the recommended response when encountering a patient who is unresponsive, but has a pulse?

  1. Start chest compressions immediately

  2. Perform the jaw-thrust maneuver

  3. Open the airway with a head tilt-chin lift

  4. Provide supplemental oxygen

The correct answer is: Open the airway with a head tilt-chin lift

When encountering an unresponsive patient who has a pulse, the priority is ensuring that the airway is open and clear to allow for effective ventilation and oxygenation. One of the most effective techniques for opening the airway in an unresponsive patient is through the head tilt-chin lift maneuver. This method helps to lift the tongue away from the back of the throat, reducing the likelihood of airway obstruction, which is a common concern for patients who are unresponsive. The jaw-thrust maneuver, while also a valid technique, is typically used when there is suspicion of a spinal injury, as it allows for maintaining spinal alignment while opening the airway. The head tilt-chin lift is preferred when no spinal injury is suspected. Starting chest compressions is not indicated in this scenario since the patient has a pulse. Providing supplemental oxygen may also be appropriate; however, it does not address the immediate need for ensuring an open airway, which is crucial for an unresponsive patient. Thus, opening the airway with the head tilt-chin lift is the recommended response, as it is essential for facilitating further assessments and interventions.