What is the first step in gaining access to a patient in a vehicle?

• A. Break the window immediately.
• B. Disconnect the battery inside the vehicle.
• C. Move other vehicles away.
• D. Ensure the vehicle is stable and hazards are eliminated or controlled.

Answer: (D)

The first action is to secure the scene by stabilizing the vehicle and eliminating or controlling hazards. Stabilization prevents the vehicle from shifting or rolling, which protects both the patient and rescuers from further injury. Controlling hazards—such as fuel leaks, fire risk, or the potential for airbag deployment—creates a safer environment for patient access.

Breaking the window immediately can expose everyone to glass shards and may trigger airbags or worsen hazards, so it’s not the initial step. Disconnecting the battery is sometimes needed to reduce electrical or airbag risks, but it should come after you’ve stabilized the vehicle and assessed the hazards to ensure it’s safe to do so. Moving other vehicles away is part of scene safety, but without first stabilizing the vehicle and addressing hazards, it could create new risks.

So, the essential first move is making sure the vehicle is stable and hazards are eliminated or controlled before attempting access to the patient.