Paramedic National Registry Practice

In an MVA scenario, which is the next appropriate action for a cool, wet, and pale 30-year-old female with low back pain?

1. Administer IV fluids

2. Apply a cervical collar and KED board

3. Begin CPR

4. Monitor vital signs only

The correct answer is: Apply a cervical collar and KED board

In this scenario, the most appropriate action is to apply a cervical collar and KED board due to the potential for a spinal injury from the motor vehicle accident (MVA). The patient presents with signs such as being cool, wet, and pale, which can indicate shock or significant distress. These signs warrant caution in moving the patient. By applying a cervical collar, you help stabilize the cervical spine and can prevent further injury to the spinal cord. The KED (Kendrick Extrication Device) board is designed to secure the patient's torso and restrict movement during transport, especially when there is a concern for back injuries. The focus here is on ensuring the patient's safety and minimizing movement, which could exacerbate any potential injuries. Administering IV fluids might be necessary later if the patient shows signs of shock or dehydration, but the immediate priority in trauma cases is to stabilize the patient's spine and ensure proper immobilization. Performing CPR is warranted only if the patient is unresponsive and not breathing, which is not indicated in this situation. Monitoring vital signs is indeed crucial but should follow the immediate safety measures of immobilization to provide a comprehensive and safe approach to the patient's care.