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

When treating a patient with chest pain and difficulty breathing, which position is most appropriate?

1. Flat on back with head elevated

2. In whatever position feels most comfortable

3. On his/her back with legs elevated

4. In a coma position

The correct answer is: In whatever position feels most comfortable

When treating a patient experiencing chest pain and difficulty breathing, positioning the patient in whatever position feels most comfortable is typically the most appropriate approach. This is because comfort can significantly affect a patient's respiratory effort and overall distress. Many patients with chest pain and breathing difficulties may instinctively adopt a position that eases their symptoms, such as sitting up or leaning forward, which can help alleviate the feeling of tightness and improve ventilation. Comfortable positioning not only allows for better airflow but can also promote a sense of control and reduce anxiety in the patient. Maintaining their comfort while monitoring vital signs is crucial in emergency care, as it respects the patient's needs and can lead to better outcomes. Other options may not provide the same benefits; for instance, lying flat on their back could exacerbate feelings of shortness of breath and may not aid in their comfort or respiratory function. Elevating legs while the patient is flat might not be suitable due to potential cardiovascular compromise. While a recovery position (coma position) can be beneficial in some scenarios for unresponsive patients, it may not be ideal for someone actively experiencing chest pain and difficulty breathing.