Florida State Paramedic Practice Exam

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When considering shock management, what is a common first step in treatment?

Establish vascular access
Administer epinephrine
Perform a head-tilt chin-lift
Start CPR immediately

The correct answer is: Establish vascular access

Establishing vascular access is a crucial initial step in shock management. This process allows for the rapid administration of IV fluids and medications that can help stabilize the patient's condition. In cases of shock, the patient may have compromised circulation and require fluid resuscitation to restore adequate blood volume and improve perfusion to vital organs. Rapid access to the circulatory system is essential for delivering lifesaving interventions, particularly in cases of hypovolemic shock, where fluid loss is significant. While other treatments may also be necessary, such as administering medications or performing CPR if the patient is in cardiac arrest, establishing vascular access is prioritized in the context of shock management since it sets the foundation for further treatment. This step ensures that the patient can receive the necessary fluids and medications as quickly as possible, improving the chances for a positive outcome.