North Carolina EMT State Practice Exam

What is the best practice for a patient experiencing gastric distention during ventilation?

1. Lay them flat

2. Elevate their head

3. Put them on their side

4. Administer medication

The correct answer is: Put them on their side

In situations where a patient is experiencing gastric distention during ventilation, placing the patient on their side is an effective practice. This position helps to alleviate pressure in the abdomen and allows for better drainage of any fluids, which may minimize further distention. Additionally, being on their side can facilitate improved airway management and reduce the risk of aspiration, especially if there are concerns about the patient’s ability to handle secretions or vomit. Elevating the patient's head can be beneficial in certain scenarios, such as patients with respiratory distress, but it might not be as effective for addressing gastric distention specifically. Laying a patient flat could exacerbate the issue by increasing intra-abdominal pressure, which may worsen distention and complicate ventilation efforts. Administering medication may sometimes be relevant for managing underlying causes of gastric distention but is not a primary intervention for immediate relief during ventilation.