Which of the following is the most important initial step in the management of a patient suspected of having a spinal cord injury?
Immobilization of the spine
Assessment for other injuries
Administration of intravenous fluids
Administration of high-dose methylprednisolone
Immobilization of the spine is the most important initial step when a spinal cord injury is suspected. This helps to prevent further injury to the spinal cord and surrounding structures which could exacerbate the damage or lead to new injuries. Assessment for other injuries, while important, does not take precedence over spinal immobilization, which prevents secondary damage. Administration of high-dose methylprednisolone used to be common practice but has fallen out of favor due to lack of efficacy and potential for harm as per recent guidelines.
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