Board of Legal SpecializationPractice Exam

What is the priority action for a suspected head and neck injury patient who is unresponsive but has a pulse?

1. Start rescue breathing immediately

2. Perform a primary assessment and initial interventions

3. Reassess the patient only

4. Wait for further assistance

The correct answer is: Perform a primary assessment and initial interventions

The priority action for a suspected head and neck injury patient who is unresponsive but has a pulse is to perform a primary assessment and initial interventions. This step is critical because it involves identifying the patient's airway status, breathing, and circulation—key components of the ABCs (Airway, Breathing, Circulation) in emergency care. In cases of head and neck injuries, there is an increased risk of airway compromise or spinal cord injury, which necessitates careful handling of the patient. Conducting a primary assessment allows the healthcare provider to evaluate the need for interventions such as securing the airway and applying appropriate stabilization techniques without further jeopardizing the patient's condition. Immediate action is essential to manage potential life-threatening situations, particularly ensuring that the patient can breathe adequately despite being unresponsive. Starting rescue breathing immediately may seem like a direct response, but it could be premature without first assessing the airway and ensuring it is clear, especially given the risk of spinal injury. Waiting for further assistance or solely reassessing the patient would delay critical interventions that are necessary to stabilize the patient and address their immediate needs effectively. Thus, performing a primary assessment allows for a systematic approach to emergency care, prioritizing the patient's safety and health outcomes.