You have achieved ROSC in a 77-year-old female.

The correct answer is B. Left lateral recumbent.

This patient has return of spontaneous circulation (ROSC) but remains unresponsive. In such cases, airway protection becomes the priority.

According to NREMT and resuscitation guidelines:

Unresponsive patients who are breathing adequately should be placed in the recovery position (lateral recumbent) to maintain a patent airway and reduce the risk of aspiration.

This position allows secretions or vomit to drain out of the mouth instead of entering the airway.

Why B is correct:

“Place unresponsive patients with adequate breathing in the recovery position.”

The left lateral recumbent position is the standard recovery position used in EMS.

Why the other options are incorrect:

A. Supine: Increases risk of airway obstruction and aspiration in an unresponsive patient.

C. Trendelenburg: Not recommended; can worsen respiratory function and does not improve outcomes.

D. Head elevated 45°: May be used in conscious patients or certain conditions, but not ideal for an unresponsive patient without airway control.

Exact Extracts:

“Unresponsive patients who are breathing adequately should be placed in the recovery position.”

“The recovery position helps maintain an open airway and reduces aspiration risk.”

“Airway management is the priority after ROSC.”