When should spinal mobilization be performed in the initial assessment?

The timing of spinal mobilization is critical for managing trauma patients, particularly those with suspected spinal injuries. Spinal mobilization should occur right after assessing the airway because ensuring adequate airway management is paramount in trauma scenarios. If a patient has a compromised airway, immediate intervention is necessary to clear or secure the airway before any other assessments or interventions.

Once the airway is secured, spinal mobilization can be safely initiated if indicated, particularly for patients who may have a spinal injury. This approach minimizes further potential injury while allowing for continued assessment and intervention.

In contrast, assessing circulation and controlling bleeding are also essential steps, but they follow after securing the airway, especially if there is a concern about spinal injury. During the breathing assessment, it is equally important, but the priority of airway management takes precedence to ensure the patient can breathe adequately and prevent further complications.