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

What is the correct management approach for pelvic injuries?

1. The patient should be immobilized in a seated position

2. The patient should be transported immediately

3. The patient should be immobilized on a backboard

4. The patient should be moved to a stretcher without further assessment

The correct answer is: The patient should be immobilized on a backboard

The correct management approach for pelvic injuries involves immobilizing the patient on a backboard. This method is important because it helps stabilize the pelvis and minimize movement, which could exacerbate any potential bleeding or further injury. Pelvic injuries can lead to significant internal bleeding and may compromise the blood supply to the lower extremities. By using a backboard, you provide the necessary support to keep the spine aligned and limit motion in the pelvic region during transport, which is crucial for the patient's safety. Transporting the patient without proper immobilization could lead to increased risk of complications from the injury. While immediate transport is usually necessary for patients with serious injuries, it must be balanced with ensuring that the patient is stabilized adequately before moving them. Additionally, placing a patient in a seated position may not provide the necessary support for a pelvis injury and could cause discomfort or further harm. Therefore, proper backboard stabilization is essential in the management of such injuries in the prehospital setting.