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

The first step in managing a patient with a suspected spinal injury is to stabilize the head and neck to prevent further injury. This is crucial because any movement of the head or neck can potentially exacerbate an existing spinal injury, leading to increased risk of paralysis or further neurological damage. By keeping the head and neck in a neutral position, you help minimize the risk of additional injury while preparing for further assessment and treatment.

Stabilizing the head and neck is a proactive measure that prioritizes the patient's safety. It is fundamental in the approach to any patient suspected of having a spinal injury and forms the basis of the "spinal immobilization" protocol. Once the spine is stable, other critical assessments and interventions, such as assessing vital signs or applying a cervical collar, can follow in a safe manner.