Emergency Medical Technician (EMT) Basic Certification Practice Exam

Which of these is NOT a treatment option for a closed head injury?

1. Monitoring level of consciousness

2. Capnography

3. Reclining the patient fully

4. Oxygen supplementation

The correct answer is: Reclining the patient fully

In the context of a closed head injury, the management approach focuses on protecting the patient's brain from further injury and monitoring for changes in their condition. Monitoring level of consciousness is crucial because it helps detect any deterioration in the patient’s neurological status. Capnography is often employed to assess ventilation and ensure adequate oxygen delivery to the brain; this is vital, especially in head injuries where cerebral perfusion can be compromised. Additionally, oxygen supplementation is commonly used to maintain adequate oxygenation, which is essential in preventing secondary brain injury. Reclining the patient fully, however, is not an appropriate treatment option. In cases of closed head injuries, the position of the patient should typically be semi-reclined; a fully reclining position can increase intracranial pressure and potentially worsen the patient's condition. Therefore, while monitoring and oxygenation are key elements of treatment, reclining the patient fully may be contraindicated due to its possible negative effects on intracranial dynamics.