What is the first step to take for a patient suspected of having a spinal cord injury?

For a patient suspected of having a spinal cord injury, the foremost priority is to stabilize the spine. This is crucial because any movement can exacerbate a potential injury, leading to further damage to the spinal cord and surrounding structures. Immobilization minimizes the risk of additional trauma and is essential in preventing complications, such as permanent neurological deficits.

Once the spine is immobilized, other interventions, like performing a neurological exam or administering oxygen, can be considered in a prioritized manner according to the patient's immediate needs. The focus on stabilization reflects the principles of trauma care where the prevention of secondary injury is paramount. This step ensures that any necessary treatment can be administered safely without risking further harm to the patient.