The correct answer is D. Administer epinephrine auto-injector.
Key findings in this scenario:
Bee sting
Respiratory distress
These findings strongly indicate anaphylaxis, a life-threatening allergic reaction that requires immediate treatment.
Why D is correct:
Epinephrine is the first-line treatment for anaphylaxis because it:
Relieves bronchoconstriction (improves breathing)
Reduces airway swelling
Improves blood pressure
NREMT/AHA-aligned guidance states:
“Epinephrine is the primary treatment for anaphylaxis.”
“Administer immediately in patients with respiratory compromise from allergic reactions.”
Why the other options are incorrect:
A. Give a bronchodilatorMay help wheezing, but does not treat systemic anaphylaxis
B. Perform a primary surveyAlways important, but life-saving intervention (epinephrine) should not be delayed in obvious anaphylaxis
C. Immediately transportTransport is important, but treatment must begin immediately
Exact Extracts (NREMT-aligned EMT educational references):
“Administer epinephrine promptly in suspected anaphylaxis.”
“Respiratory distress after allergen exposure is an indication for epinephrine.”
“Delays in epinephrine administration increase mortality.”
Clinical Priority Summary:
In a patient with respiratory distress following a bee sting, the EMT must immediately administer epinephrine, making D the correct answer.
[References:, , , NREMT EMT Education Standards – Medical Emergencies (Allergic Reactions), NREMT National Continued Competency Program (NCCP), American Heart Association (AHA) Guidelines (aligned with NREMT), =================================================================, ]
