68W EMT Practice Exam – All-in-One Prep Resource 2026

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What is the first step in the primary assessment of a patient?

Check level of consciousness

Ensure scene safety and introduce oneself

The first step in the primary assessment of a patient involves ensuring scene safety and introducing oneself. This step is crucial because it establishes a safe environment for both the EMT and the patient, which is essential to effectively provide care. Ensuring scene safety allows the EMT to assess the surrounding area for any potential hazards, such as traffic, fire, or violent individuals, which could pose a risk to both the responder and the patient.

Once safety is confirmed, introducing oneself not only helps to establish rapport with the patient but also reassures them that they are being cared for by a trained professional. This introduction can help to calm the patient and facilitate communication, which is vital in an emergency situation.

If the scene is not safe, an EMT cannot safely assess or treat the patient, making this initial step a foundational aspect of patient care in emergency medical situations. Subsequent steps such as checking the level of consciousness, assessing airway and breathing, and beginning CPR can only be effectively undertaken once it is determined that the scene is safe.

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Assess airway and breathing

Begin CPR if necessary

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