A 34-year-old male involved in a high-speed motor vehicle collision is suspected of having a vertebral injury. He reports severe neck pain, and upon examination, there is a noticeable step-off in the cervical spine. What initial management step is most appropriate?
The correct answer is to immobilize the cervical spine. This is essential to prevent any potential worsening of a spinal cord injury and to ensure spinal stability until further imaging can be obtained. While providing pain relief, assessing airway, breathing, and circulation are critical, immobilization is paramount for suspected vertebral injuries during initial management.
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