What should be the first action when encountering a patient with a suspected spinal injury?

The first action when encountering a patient with a suspected spinal injury is to stabilize the head and neck. This is crucial because any movement of the head or neck could potentially exacerbate the injury and cause further damage to the spinal cord. By stabilizing the head and neck, you minimize the risk of additional injury and provide support until further assessment and treatment can be performed.

Stabilization helps to prevent movements that could lead to increased trauma or complications. It is essential to ensure that the cervical spine is protected and that the patient remains as still as possible. Proper stabilization may involve using your hands to hold the head in line with the body and may also include the use of cervical collars and backboards when available.

The other options, while important components of patient care, are secondary actions. Assessing vital signs typically follows the stabilization of the spine to ensure a complete evaluation of the patient's condition without risking further injury. Transporting the patient is also necessary, but it should only occur after the proper stabilization has been achieved. Administering oxygen, while potentially critical depending on the patient's condition, should be done after confirming that the spine is stabilized to prevent any exacerbation of the injury during the process.