Emergency Medical Technician (EMT) Trauma Practice Test

Which of the following best describes the appropriate initial care for a patient with a severe neck injury exhibiting Reinke's edema (swelling of the vocal cords)?

1. Apply a cervical collar and monitor airway condition continuously.

2. Provide humidified oxygen and elevate the head of the bed.

3. Transport immediately with the head lower than the body.

4. Apply ice packs to the neck and administer high-flow oxygen.

The correct answer is: Apply a cervical collar and monitor airway condition continuously.

In a patient with a severe neck injury exhibiting Reinke's edema, securing and monitoring the airway is of utmost importance to ensure adequate oxygenation. Applying a cervical collar helps stabilize the neck and prevents further movement that could exacerbate the injury. By continuously monitoring the airway condition, emergency medical responders can promptly identify and address any changes, such as airway compromise due to the edema. This initial care approach prioritizes the preservation of the patient's airway, which is crucial in trauma situations. Options B, C, and D are not the most appropriate initial interventions for a patient with a severe neck injury exhibiting Reinke's edema. Providing humidified oxygen and elevating the head of the bed may be beneficial in other medical conditions, but they do not address the primary concern of securing the airway in this specific trauma scenario. Transporting the patient immediately with the head lower than the body could worsen the spinal cord injury, and applying ice packs to the neck is not recommended in cases of trauma as it could potentially cause vasoconstriction and further harm.