When approaching a stabbing victim at a scene, what is the most appropriate first step?

When approaching a stabbing victim at a scene, what is the most appropriate first step?

• A. Move the patient to safety
• B. Call for additional resources
• C. Perform a scene size-up
• D. Check for pulse

Answer: (C)

Assessing the scene for safety and conditions is the first priority. A scene size-up quickly checks for hazards (weapons, other threats, fire, traffic), determines the mechanism of injury and how many victims, and identifies what resources are needed. This step protects you and the patient and guides all subsequent actions. Only after confirming it’s safe to approach should you begin patient assessment, bleeding control, or checking for a pulse. Moving the patient to safety or performing a pulse check comes after you’ve established scene safety, which is why starting with a scene size-up is the best first step.

Assessing the scene for safety and conditions is the first priority. A scene size-up quickly checks for hazards (weapons, other threats, fire, traffic), determines the mechanism of injury and how many victims, and identifies what resources are needed. This step protects you and the patient and guides all subsequent actions. Only after confirming it’s safe to approach should you begin patient assessment, bleeding control, or checking for a pulse. Moving the patient to safety or performing a pulse check comes after you’ve established scene safety, which is why starting with a scene size-up is the best first step.