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The most important initial step in the management of a patient with a suspected spinal injury is:

  1. assessing the patient’s pulse, motor function, and sensation

  2. high-flow oxygen administration

  3. manual stabilization of the head and neck

  4. rapid transport to a trauma center

The correct answer is: assessing the patient’s pulse, motor function, and sensation

In a patient with a suspected spinal injury, the most crucial initial step in their management is assessing the patient's pulse, motor function, and sensation. This step is essential as it helps in determining the severity of the potential spinal injury and guides further management decisions. Assessing these parameters can provide critical information about the patient's neurological status and any potential compromise to the spinal cord. Therefore, it is essential to perform a quick assessment of the patient's pulse, motor function, and sensation to ensure appropriate and timely intervention. Manual stabilization of the head and neck (option C) is also important in the management of a patient with a suspected spinal injury to prevent further damage to the spinal cord. High-flow oxygen administration (option B) is typically indicated in various medical emergencies but may not be the most important initial step in managing a suspected spinal injury. Rapid transport to a trauma center (option D) is crucial for definitive care but should only be initiated after initial assessments and stabilization have been performed.