What is the first step in managing a patient with a suspected spinal injury?

In managing a patient with a suspected spinal injury, the first step is to ensure spinal immobilization and proper positioning. This is crucial because movement can exacerbate any potential spinal cord injury. By stabilizing the spine, you minimize the risk of further injury to the spinal cord and surrounding structures.

Spinal immobilization typically involves the use of a backboard, neck collar, and head blocks, ensuring that the patient remains as still and stable as possible. Proper positioning helps maintain the alignment of the spine and reduces the risk of compromising neurological function.

Addressing other aspects, such as airway management, pain relief, or conducting a rapid assessment, should follow once spinal control is established. However, if the spine is not stabilized first, any interventions could worsen the injury or complicate treatment efforts. Therefore, ensuring spinal immobilization and proper positioning is the foundational step in the management of suspected spinal injuries.