NOLS WEMT Practice Exam – Comprehensive Test Prep 2025

Question: 1 / 400

What should be done first in managing a patient with a suspected spinal injury in a vehicle?

Check the patient's vital signs

Ensure in-line spinal stabilization is maintained

In the management of a patient with a suspected spinal injury, maintaining in-line spinal stabilization is the critical first step. This is vital to prevent any further damage to the spinal cord, which could potentially lead to permanent loss of function or mobility.

When a patient is involved in a vehicle accident and spinal injury is suspected, any movement can exacerbate the existing injury, possibly displacing vertebral fragments or causing further compression of the spinal cord. By ensuring in-line stabilization, you effectively minimize any movement of the spine and provide the best chance for the patient’s recovery while waiting for more advanced medical assistance.

Other actions, such as checking vital signs or communicating with the patient, are important but should follow the stabilization of the spine. Similarly, extrication procedures should only begin after ensuring that the patient's spine is stabilized to avoid additional harm during the process. Prioritizing spinal stabilization ensures that the patient's safety is the primary focus as you assess their condition and prepare for transport.

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Communicate with the patient about their condition

Begin extrication procedures immediately

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