Florida State Paramedic Practice Exam

When managing explosive injuries, what is the first step in treatment?

1. Stop arterial bleeding

2. Ventilate and oxygenate

3. Treat airway

4. Apply dressings to wounds

The correct answer is: Treat airway

In the management of explosive injuries, the first step in treatment focuses on ensuring that the airway is clear and functional. Explosive injuries can cause significant trauma, potentially leading to airway obstruction due to swelling, blood, or debris. Promptly addressing the airway is critical because, without effective ventilation, the patient cannot receive adequate oxygen, which is essential for survival. Securing the airway allows for further assessment and treatment to be performed safely. Once the airway is established and patency is assured, additional interventions such as stopping arterial bleeding, providing ventilation, and applying dressings to wounds can follow in a systematic approach to manage the overall trauma and reduce morbidity. The priority of airway management aligns with basic principles of trauma care, emphasizing that a compromised airway directly impacts a patient's ability to breathe and maintain oxygenation.