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

What is an appropriate response for a patient with a high risk of choking on a foreign object?

1. Remove the object through visualization

2. Perform continuous ventilation

3. Encourage slow chewing

4. Position the patient upright and monitor

The correct answer is: Position the patient upright and monitor

In cases where a patient is at high risk of choking on a foreign object, positioning the patient upright and monitoring them is a critical intervention. Being in an upright position can help to keep the airway open and facilitate easier breathing, minimizing the chances of the object obstructing the airway further. It also allows any potential coughing reflex to occur more effectively, which can help dislodge the offending object. Monitoring the patient is equally essential to observe any changes in their condition, such as the development of distress or further obstruction. If the situation worsens, the EMT can respond appropriately with interventions such as the Heimlich maneuver or advanced airways if they become necessary. The other options do not effectively address the urgency of managing a choking risk. For instance, removing the object through visualization may not always be feasible or safe and could complicate the situation. Continuous ventilation is inappropriate in this scenario, as the airway could be obstructed. Encouraging slow chewing might not be relevant as it does not apply to a choking risk already present.