Emergency Medical Technician (EMT) Intermediate Practice Exam

A 40-year-old male is unconscious, has inadequate breathing, and is producing copious, continuous secretions from his mouth. This situation is MOST effectively managed by:

1. Suctioning for 15 seconds and ventilating for 2 minutes

2. Administering oxygen immediately

3. Performing chest compressions

4. Placing the patient in the recovery position

The correct answer is: Suctioning for 15 seconds and ventilating for 2 minutes

The scenario describes a patient who is unconscious with inadequate breathing and excessive secretions, which signifies an immediate need to secure the airway and ensure that ventilation is adequate. To manage the airway effectively, suctioning is critical. The choice that involves suctioning for 15 seconds is appropriate because it removes the secretions that could obstruct the airway and facilitate proper ventilation. After suctioning, providing ventilations for 2 minutes helps to ensure that the patient receives adequate oxygen, especially since they are unable to breathe effectively on their own due to unconsciousness and the presence of secretions. This approach prioritizes maintaining a clear airway and addressing critical ventilation needs. The other options do not adequately address the primary concern of maintaining an open airway in the presence of copious secretions. Administering oxygen without suctioning may lead to further airway obstruction. Performing chest compressions is not indicated unless there are signs of cardiac arrest, which is not mentioned in this scenario. Placing the patient in the recovery position could potentially lead to more problems if the airway is still obstructed by secretions, making it an insufficient immediate action for this condition.