What is the first step if spinal motion restriction is indicated?

When spinal motion restriction is indicated, the first step is to manually obtain control of the cervical spine. This action is crucial because it helps stabilize the patient’s head and neck, preventing any potential movement that could exacerbate a spinal injury. By securing the cervical spine, you reduce the risk of causing further damage to the spinal cord, which is vital in managing the overall safety and health of the patient.

This step takes precedence over checking the patient's breathing or calling for backup, as controlling the cervical spine directly addresses the immediate concern of preventing further spinal injury. Proper stabilization is essential before any additional interventions, such as securing the patient to a stretcher or performing other assessments. The priority is maintaining spinal alignment and ensuring the patient's safety throughout the care process.