What should be the first action if a paramedic encounters a patient with a suspected spinal injury?

In cases of suspected spinal injury, the first and most critical action is to stabilize the head and neck. This is essential because any movement could exacerbate potential spinal cord damage or worsen the injury. By stabilizing the head and neck, the paramedic prevents additional injury and maintains alignment of the vertebrae, which is crucial for protecting neural pathways.

Stabilization can be performed through manual support to prevent any motion until a proper assessment can be conducted and appropriate immobilization devices, like a cervical collar or spinal board, can be applied. This initial step is vital in minimizing the risk of paralysis or other severe complications that can arise from improper handling of the patient in such situations.

Other actions, while important in the overall management of the patient, come after stabilizing the head and neck. Checking for responsiveness is a necessary assessment but should occur after ensuring the patient is safe without risking further injury. Assisting the patient to a sitting position is not appropriate as it may cause movement of the spine. Administering pain medication may be required later but not before ensuring the patient's spinal alignment and stability are prioritized.