National Registry of Emergency Medical Technicians (NREMT) Emergency Medical Services (EMS) Operations Practice Exam

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What is the first action an EMT should take upon arrival at a scene?

Begin patient assessment

Ensure scene safety

Upon arriving at a scene, the first action an EMT should take is to ensure scene safety. This step is crucial because the safety of both the emergency responders and any potential patients in the vicinity is the primary concern. If the scene is unsafe, no medical interventions can be effectively performed, and responders may put themselves at risk for injury.

Assessing the scene for hazards—such as traffic, fire, or potential violence—allows the EMT to determine whether it is safe to approach and provide care. When safety has been established, the EMT can proceed with patient assessment and other necessary actions. This initial focus on safety is a fundamental aspect of emergency medical service protocols, and it lays the groundwork for effective patient care.

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Gather patient medical history

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