The correct answer is D. Perform manual cervical stabilization.
Key Concept: Mechanism of Injury (MOI) and Priorities
This patient fell out of a tree, which is a significant mechanism of injury. Any fall from height raises concern for:
Why D is correct:
According to NREMT trauma priorities:
Spinal motion restriction is initiated immediately when a significant MOI is present
The first action upon patient contact is to stabilize the cervical spine manually
NREMT-aligned guidance states:
“Manual cervical stabilization should be initiated immediately in patients with suspected spinal injury.”
“Falls from height are high-risk mechanisms requiring spinal precautions.”
Why the other options are incorrect:
A. Assess for distal circulationImportant, but comes after addressing life threats and spinal stabilization
B. Realign the extremityDone later if needed, after initial stabilization and assessment
C. Perform a rapid trauma assessmentOccurs after cervical spine stabilization is initiated
Exact Extracts (NREMT-aligned EMT educational references):
“Begin manual stabilization of the cervical spine immediately.”
“High-risk mechanisms include falls from height.”
“Address life threats first before focusing on isolated extremity injuries.”
Clinical Priority Summary:
Because this is a high-risk fall, the EMT must immediately protect the cervical spine, making D the correct answer.
[References:, NREMT EMT Education Standards – Trauma (Spinal Motion Restriction) , NREMT National Continued Competency Program (NCCP) , AAOS Emergency Care and Transportation of the Sick and Injured (NREMT-aligned) , ====================================, , , , , , =================================================================, ]
