What is the first step in managing a pediatric patient with a suspected spinal injury?

In managing a pediatric patient with a suspected spinal injury, the first step is to stabilize the head and neck immediately. This is crucial because any movement can potentially exacerbate the injury or cause further neurological damage. Stabilizing the head and neck ensures that the spinal column remains aligned and minimizes the risk of secondary injury during assessment or transport.

Applying a cervical collar is an important part of spinal immobilization, but it occurs after the initial stabilization of the head and neck. A thorough neurological assessment is also vital, but it must follow the immediate stabilization to ensure the patient's safety first. Transport to the nearest hospital is necessary, but again, it should only happen after the initial care measures are taken to secure the patient's condition. Therefore, the focus on immediate stabilization helps to protect the integrity of the spinal cord and the overall well-being of the child before any further interventions or evaluations are conducted.