Advanced Emergency Medical Technician (AEMT) Practice Test

How should AEMTs handle a patient who displays signs of shock?

1. Encourage fluid intake immediately

2. Place the patient in a flat position

3. Keep the patient upright for breathing

4. Administer oral medications at once

The correct answer is: Place the patient in a flat position

When a patient exhibits signs of shock, placing the patient in a flat position, often referred to as the supine position, is a critical intervention. This posture helps to maximize blood flow to vital organs by promoting venous return to the heart. In states of shock, the body is already under stress, and every effort to assist circulation can significantly impact outcomes. Maintaining a flat position can help alleviate the risk of further complications that arise from inadequate perfusion. This positioning is particularly vital as it allows blood to be redirected from the extremities toward the core of the body, where the heart and vital organs are located. Encouraging fluid intake, keeping the patient upright, or administering oral medications isn't advisable in this scenario. Fluid intake could be contraindicated if the patient is unable to swallow safely, and an upright position could exacerbate the situation by impairing circulation, particularly if the patient is already struggling to maintain blood pressure. Moreover, administering oral medications might not be suitable, as the patient may not have an adequate gag reflex or might require IV access for proper treatment in cases of severe shock. Thus, the supine position is the prioritized and appropriate approach for managing a patient in shock.