When performing spinal immobilization on a patient with neck or back pain, what is the first step?

In the context of spinal immobilization, the first step involves the use of an immobilization device to prevent any further injury to the spine. This procedure is crucial when dealing with a patient who has neck or back pain, as movement could exacerbate a spinal injury. Therefore, completing an immobilization package—such as a backboard and securing straps—ensures that the patient is stabilized before any further assessments or interventions take place.

By securing the patient as the initial action, you minimize the risk of additional damage while ensuring that the individual can be safely transported and monitored. This is particularly important in emergency situations where the patient's condition may rapidly change, and any unnecessary movement could complicate their injuries. This step also prepares for subsequent evaluations, such as airway assessment and vital sign checks, but those follow after ensuring spinal stability.