NREMT Paramedic Practice

What is the primary concern when managing a patient with a spinal injury?

1. Managing hypotension

2. C-spine immobilization and preventing contamination

3. Administering pain medication

4. Checking blood glucose levels

The correct answer is: C-spine immobilization and preventing contamination

The primary concern when managing a patient with a spinal injury is C-spine immobilization and preventing contamination. When there is a suspected spinal injury, it is critical to stabilize the cervical spine to prevent any movement that could exacerbate the injury and potentially lead to further harm to the spinal cord. Proper immobilization techniques, such as using a cervical collar and securing the patient to a backboard, are crucial to minimize any risk of neurological compromise. Preventing contamination refers to the need to keep the injury site clean, especially if there are open wounds or risks for infection, which may occur due to the mechanism of injury. Effective management involves ensuring that the patient does not experience further injury during transport and managing other potential complications that can arise from immobility or shock. While managing hypotension, administering pain medication, and checking blood glucose levels are important components of patient care, they become secondary to the immediate need for spinal stabilization in cases of spinal injuries. Addressing these other concerns is critical as part of overall treatment but does not take precedence over ensuring the integrity of the spinal column.