Emergency Medical Technician (EMT) Intermediate Practice Exam

Upon arrival at a shooting scene, after airway management, what should be done next?

1. Administer high-flow oxygen

2. Suction the patient's oropharynx

3. Start chest compressions

4. Apply a tourniquet to the bleeding site

The correct answer is: Suction the patient's oropharynx

In the context of a shooting scene, prioritizing interventions is critical for patient outcomes. After ensuring airway management, the next appropriate step is suctioning the patient's oropharynx. This action is important because it clears the airway of any secretions, blood, or debris that may be obstructing normal airflow. Maintaining a clear airway is essential, especially in trauma cases, as airway obstruction can lead to hypoxia and further complications. Suctioning the oropharynx allows for better visibility and access to the airway for further interventions, such as providing ventilation or additional advanced airway management if necessary. This response is particularly crucial in traumatic injuries where blood or fluid may accumulate in the airway due to the mechanism of injury. In such scenarios, administering high-flow oxygen may also be important, but it should occur after ensuring that the airway is clear. Starting chest compressions is not indicated unless the patient shows signs of cardiac arrest, which would typically be assessed after addressing the airway. Applying a tourniquet is relevant only if there is significant bleeding from an extremity that needs to be controlled, and it may not address the immediate airway concerns.