A pt. presents in the emergency with a cervical spine fracture. First thing to do is :
Locate the fracture by shifting the pt. side to side
X-ray of spine
Clear the airway and intubate him
Immobilise the cervical spine
Ans. is 'd' ie. Immobilise the cervical spine "Injury to the cervical spine is assumed in the presence of injury above the clavicle, loss or alteration of conscious level, involvement in high-speed collisions or where there is H/o neck pain. Airway assessment and management is performed with the cervical spine immobilised in the neutral position by manual inline immobilization or by a well-fitting neck brace, sandbags and forehead tape."- Bailey & loveThus before beginning the ABC of management cervical spine is immobilised.