New York State Basic Emergency Medical Technician (EMT-B) Practice Exam

If an EMS provider discovers a suspected fracture, what should they prioritize?

1. Perform a detailed examination.

2. Realign the bone before transport.

3. Stabilize and immobilize the limb.

4. Apply heat to the injured area.

The correct answer is: Stabilize and immobilize the limb.

When dealing with a suspected fracture, the primary action an EMS provider should take is to stabilize and immobilize the limb. This is crucial because immobilization helps prevent further injury to the surrounding tissues, including muscles, blood vessels, and nerves, which could be compromised by movement of the fractured bone. Additionally, proper stabilization can help alleviate pain for the patient and minimize the risk of complications during transport to a medical facility. By focusing on stabilization and immobilization, the EMS provider ensures that the fracture is held in place, reducing the chances of any displacement that could lead to more severe injuries. This approach also prepares the injured area for further evaluation and treatment by healthcare professionals. Performing a detailed examination or realigning the bone may not be appropriate in the pre-hospital environment and can sometimes exacerbate the situation. Similarly, applying heat could worsen swelling or pain. Therefore, ensuring the limb is stabilized and immobilized is the most effective priority in the initial management of suspected fractures.