West Coast EMT Block One Exam

What immediate action should you take for a patient with slow and shallow respirations after extrication?

1. Stabilize her legs with long board splints

2. Apply oxygen via a nonrebreathing mask

3. Obtain baseline vital signs and transport at once

4. Direct your partner to begin ventilatory assistance

The correct answer is: Direct your partner to begin ventilatory assistance

In cases of slow and shallow respirations, the primary concern is inadequate ventilation, which can lead to hypoxia and potentially life-threatening situations. The immediate action that should be taken is to initiate ventilatory assistance because the patient is not adequately breathing on their own. Providing ventilatory assistance ensures that the patient receives sufficient oxygenation and carbon dioxide removal, which is critical in stabilizing their condition. While supplemental oxygen can support the patient, it won't resolve the underlying issue of insufficient respiratory effort. Stabilizing the legs, obtaining baseline vital signs, or simply applying oxygen without addressing the respiratory impairment may delay essential interventions needed for the patient's survival. Hence, directing a partner to provide ventilatory assistance is the correct and necessary action in this scenario.