What is the first action an EMT should take when arriving at the scene of a patient who is lightheaded?

The first action an EMT should take when arriving at the scene of a patient who is lightheaded is to assess the woman and determine her wishes for treatment. This is crucial because an assessment allows the EMT to gather vital information about the patient's condition, including the potential causes of lightheadedness, such as dehydration, blood pressure issues, or other underlying medical problems. Understanding the patient's wishes for treatment is also an essential component of patient-centered care and respect for autonomy. This process ensures that the EMT can provide appropriate care while considering the patient’s preferences and needs.

Determining the wishes for treatment is particularly important because lightheadedness can be a sign of various medical emergencies, and knowing how the patient feels can influence the next steps in care and facilitate effective communication regarding treatment options. This assessment can include asking about symptoms, medical history, and any current medications, which are key to deciding whether further intervention is necessary.

In contrast, simply complying with family requests for transport, advising them to drive the patient to the hospital, or measuring vital signs without first assessing the patient may overlook critical aspects of the patient's medical status and needs.