New York State Emergency Medical Technician (EMT) Practice Exam

What should be the priority action for a patient showing signs of shock?

1. Administer fluids

2. Position the patient supine

3. Obtain vital signs

4. Engage the patient in conversation

The correct answer is: Position the patient supine

In cases where a patient shows signs of shock, the primary concern is ensuring adequate blood flow to vital organs. Positioning the patient supine, meaning lying flat on their back, helps facilitate this by allowing gravity to aid in blood circulation back to the heart and brain. This position can enhance venous return, which is crucial for maintaining blood pressure and supporting organ perfusion. Simultaneously, the supine position can also minimize the risk of further complications, such as fainting or falling, which are particularly critical to avoid in a patient who is already experiencing instability. Once the patient is placed supine, you can then implement other actions such as administering fluids or obtaining vital signs, which are also important in managing shock, but positioning the patient correctly is a foundational first step. Prioritizing this action helps to stabilize the patient in an immediate and effective manner, promoting better overall outcomes in the context of treatment for shock.