What is the first step in managing a traumatic injury?

The first step in managing a traumatic injury is to evaluate the scene for safety. This is crucial because before any medical care can be provided, first responders must ensure that the environment is safe for themselves, the patient, and any bystanders. If the scene is hazardous—due to traffic, fire, unstable structures, or potential violence—it can complicate or even jeopardize the care that needs to be given.

Once safety is confirmed, responders can proceed with other steps in care, such as performing a primary assessment, providing pain relief, or addressing specific injuries like applying dressings. However, if the scene poses a threat to safety, even the most skilled medical interventions may be ineffective or lead to further injury for both the healthcare provider and the patient. Thus, prioritizing scene safety is foundational in emergency medical response.