Your first priority when treating a patient with a deep local cold injury is to:

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When addressing a patient with a deep local cold injury, ensuring your own safety is paramount. In emergency medical situations, the well-being of the EMT is critical because if you become injured or incapacitated, you cannot provide care effectively. By prioritizing your own safety, you can maintain a stable environment from which to assist the patient.

Once personal safety is assured, the focus can then shift to the patient's needs. While rewarming the injured area and removing the patient from the cold environment are important steps in treating cold injuries, they should only be undertaken once the responder is secure and in a position to offer care safely. The airway is fundamental in all patient care scenarios, but it does not take precedence over ensuring that the responder is not at risk of injury themselves in a potentially dangerous scenario.

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