Basic

I. Initial Assessment

Maintain cervical spine.
Maintain airway.
Consider Oropharyngeal Airway (OPA) or Nasapharyngeal Airway (NPA).
Administer highest concentration of oxygen as tolerated.
Control external bleeding.

Identify mechanism of injury.
Chest:

Examine chest for injuries.
Check for tracheal deviation, subcutaneous emphysema, and/or jugular venous distention.
Place patient in position of comfort.
Watch for signs of tension pneumothorax.
Stabilize rib fracture or flail segment.
Impaled object should be stabilized in place.

Head/Spine/Neck:

Manually stabilize head, neck, and spine until secured on appropriate device.
DO NOT HYPEREXTEND THE NECK.
Note cerebrospinal fluid or blood from ears, nose, and mouth.
Perform neurological assessment on all four extremities.

Maintain and transport with full spinal immobilization.