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

When CPR is necessary while transporting a patient on a stretcher, what should the EMS provider do?

1. Move the stretcher quickly

2. Continue CPR without pause

3. Move the stretcher slowly to continue effective CPR

4. Transfer the patient to a different stretcher

The correct answer is: Move the stretcher slowly to continue effective CPR

In a situation where CPR is necessary while transporting a patient on a stretcher, it is essential to prioritize both the effectiveness of CPR and the safe transport of the patient. Moving the stretcher slowly is crucial as it allows the EMS provider to maintain the quality of chest compressions, which are the critical components of CPR for ensuring blood flow and oxygen delivery to vital organs. When CPR is performed, proper body mechanics and a stable surface are necessary to maintain consistent compression depth and rate. Rapid movement can lead to ineffective compressions due to a lack of stability and control, potentially resulting in decreased perfusion to the patient's heart and brain, which could worsen the patient's condition. Maintaining a slower, controlled pace while transporting allows for better adherence to the guidelines for performing high-quality CPR, which includes minimizing interruptions in compressions. This approach also enables the provider to assess the patient's condition during transport and make adjustments as needed to ensure the best possible outcome. The correct approach follows the guidelines for out-of-hospital cardiac arrest management and ensures that both the patient’s safety and the efficacy of the resuscitation efforts are prioritized during transport.