What is the first assessment to make when moving a patient?

The first assessment to make when moving a patient is to assess the patient's level of consciousness and responsiveness. This assessment is crucial for several reasons.

Firstly, evaluating the patient's responsiveness provides critical information regarding their neurological status. It helps EMTs determine whether the patient is alert, confused, unresponsive, or in a more severe condition such as a coma. Understanding the patient's level of consciousness can influence how the EMT approaches their care and ensures appropriate measures are taken for their safety during transport.

Additionally, awareness of the patient's consciousness level can guide decision-making regarding the need for more intensive monitoring or interventions. For example, a conscious patient may be able to follow commands, facilitating easier communication and cooperation during movement. Conversely, an unresponsive patient may require more delicate handling to ensure airway protection and minimize further injury.

While assessing vital signs, the surrounding environment for hazards, and the need for medical equipment are all important components of patient care, the immediate assessment of consciousness is pivotal in establishing a safe and effective approach to patient movement. This approach helps ensure that the EMT can rapidly evaluate the most critical needs of the patient while ensuring their safety and the safety of the team.