Emergency Medical Technician (EMT) Intermediate Practice Exam

What should be prioritized when dealing with a suspected spinal injury?

1. Immediate intubation

2. Spinal immobilization

3. Rapid extrication

4. Administering oxygen

The correct answer is: Spinal immobilization

When dealing with a suspected spinal injury, spinal immobilization is the priority because it is critical to prevent any further injury to the spinal cord. A spinal injury can lead to serious complications, including paralysis, if movement is not controlled. Proper spinal immobilization helps stabilize the patient's spine while minimizing movement, which reduces the risk of exacerbating any potential damage. Maintaining spinal alignment through effective immobilization is essential to protect the nervous system. It involves using specialized equipment such as backboards and cervical collars, which are designed to keep the spine in a neutral position until further assessment and treatment can be provided in a controlled environment, such as an emergency department. While other actions, such as oxygen administration, rapid extrication, and intubation, may be necessary depending on the overall clinical situation and the patient's condition, they do not take precedence over ensuring spinal stability. If spinal immobilization is not achieved first, any subsequent procedures could lead to additional harm. Thus, ensuring spinal immobilization is the foremost priority in managing suspected spinal injuries.