North Carolina EMT State Practice Exam

How should a conscious patient be transported after a seizure?

1. Supine position

2. Sitting upright

3. Supine-semi-sitting position

4. Face down position

The correct answer is: Supine-semi-sitting position

Transporting a conscious patient after a seizure in a supine-semi-sitting position is considered the most appropriate option because it provides several benefits for the patient’s safety and comfort. In this position, the patient has better airway protection, as they are elevated slightly, which helps prevent aspiration and allows for easier breathing. This is particularly important immediately following a seizure when the patient may still be disoriented or at risk of vomiting. Additionally, placing the patient in a semi-sitting position can aid circulation and minimize the risk of further complications. It also helps the patient to regain alertness and allows for closer monitoring of their condition during transport. This positioning also minimizes pressure on the abdomen and enhances overall comfort after the physical exertion of a seizure activity. When considering the other options, the supine position can limit airway protection and could increase the risk of aspiration, particularly if the patient is still confused or has not fully recovered from the postictal state. Sitting upright might not provide adequate support for someone who has recently experienced a seizure, as they could easily lose balance. A face-down position is unsafe and leaves the patient vulnerable, as it could obstruct the airway and is not supportive during recovery from a seizure.