In EMS, who should you report suspicions of child abuse to first?

• A. Ambulance personnel
• B. Police
• C. School nurse
• D. Public health official

Answer: (A)

When you suspect child abuse in the field, the first step is to report it through the EMS chain of command. The best initial contact is the ambulance crew supervisor or the designated authority within your service. They are charged with guiding the proper reporting process, documenting what you observed, and coordinating with the appropriate authorities (such as child protective services or law enforcement) as required by local law and agency policy. This keeps the reporting consistent, protects the child, and ensures your documentation is complete and compliant.

Police, school personnel, or public health officials may be involved later or under specific circumstances, but they are not the first point of contact in the EMS workflow.