Ontario Paramedic Practice Exam

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

1. Check for responsiveness

2. Stabilize the head and neck

3. Administer oxygen

4. Start chest compressions

The correct answer is: Stabilize the head and neck

The first step in treating a patient with a suspected spinal injury is to stabilize the head and neck. This is crucial because any movement can exacerbate the injury and potentially cause further damage to the spinal cord, which can lead to paralysis or other serious complications. By stabilizing the head and neck, you minimize movement and provide crucial support to the spine, allowing for safe assessment and treatment. Stabilization involves using your hands to support the head and neck while keeping them in a neutral position. This approach reduces the risk of additional trauma and allows for the safe implementation of follow-up care, such as assessment of responsiveness, airway management, or the administration of oxygen if necessary. Ensuring stability first is a fundamental principle in spinal cord injury management, emphasizing the need to maintain the patient's alignment and protect the nervous system during initial care.