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Multiple Choice

What is the first step in the PHTLS primary survey?

In the PHTLS primary survey, the first step is securing a patent airway while protecting the cervical spine if injury is suspected. A clear airway is essential because without it, oxygen cannot reach the lungs and tissues, and the patient can deteriorate rapidly from hypoxia. When spinal injury is possible, airway maneuvers must be performed with the neck kept in a neutral position to prevent further injury, using manual inline stabilization and cervical immobilization as needed. If the airway is obstructed, suction and appropriate airway maneuvers (such as a jaw-thrust rather than a head-tilt) are used to clear and maintain patency while preserving spinal alignment. Only after the airway is secured do you move on to assess and treat breathing, circulation, and other steps.

In the PHTLS primary survey, the first step is securing a patent airway while protecting the cervical spine if injury is suspected. A clear airway is essential because without it, oxygen cannot reach the lungs and tissues, and the patient can deteriorate rapidly from hypoxia. When spinal injury is possible, airway maneuvers must be performed with the neck kept in a neutral position to prevent further injury, using manual inline stabilization and cervical immobilization as needed. If the airway is obstructed, suction and appropriate airway maneuvers (such as a jaw-thrust rather than a head-tilt) are used to clear and maintain patency while preserving spinal alignment. Only after the airway is secured do you move on to assess and treat breathing, circulation, and other steps.