What is the first step for an EMT when managing a patient with anaphylaxis?

Establishing an airway and providing oxygen is the first step for an EMT when managing a patient with anaphylaxis because anaphylaxis is a severe and potentially life-threatening allergic reaction. During an anaphylactic reaction, the airway can become compromised due to swelling in the upper airway, which can lead to difficulty breathing or total airway obstruction. By focusing on the airway first, the EMT ensures that the patient can receive adequate oxygen, which is critical for survival in such emergencies.

In addition to opening the airway, administering supplemental oxygen is important to help counteract any hypoxia that may already be present due to impaired breathing. This immediate action can significantly stabilize the patient while further treatment is initiated, such as administering epinephrine or other medications.