What is the first step in managing a patient who is suspected to have a spinal cord injury?

The first step in managing a patient suspected of having a spinal cord injury is to stabilize the spine. This is crucial because improper movement can exacerbate the injury and lead to further neurological damage. When a spinal cord injury is suspected, it is essential to maintain spinal alignment and prevent any additional strain on the spinal structures. This typically involves using manual stabilization techniques or applying a cervical collar and other supportive devices.

By ensuring the spine is stabilized, healthcare providers can minimize the risk of worsening the injury while additional assessments and interventions are performed. It is a fundamental tool in the initial management that helps in preserving neurological function and is a key principle of trauma care. In trauma situations, prioritizing spinal stability is critical and forms the basis for subsequent evaluations and treatments.