New York State Emergency Medical Technician (EMT) Practice Exam

What is the first step you should take when responding to a patient with a dislocated shoulder?

1. Assess distal pulse, motor, and sensory functions

2. Gently attempt to move his arm toward his body

3. Place a pillow under his arm and apply a swathe

4. Flex his arm at the elbow and then apply a sling

The correct answer is: Assess distal pulse, motor, and sensory functions

When responding to a patient with a dislocated shoulder, the first step of assessing distal pulse, motor, and sensory functions is crucial for several reasons. This initial assessment helps to determine the extent of injury and ensures that there is adequate blood flow, nerve function, and movement below the site of the dislocation. Any compromise in these functions can indicate a more severe injury, such as nerve damage or vascular compromise, which requires immediate attention. Establishing the baseline of these functions also allows for better monitoring throughout the treatment process, enabling the EMT to document any changes that occur while providing care. Gathering this critical information first helps prioritize interventions and guides the subsequent steps taken in managing the patient's condition effectively. Other actions, such as attempting to move the arm or applying splints or slings, should not be the first step without ensuring that there are no complications affecting circulation or nerve function.