What is the first step to check if a patient's spine can be cleared?

The first step in determining whether a patient's spine can be cleared is to take a history. This involves gathering information about the patient's condition, including the mechanism of injury, any symptoms they are experiencing, and their medical history. Understanding these factors is crucial, as it helps assess whether there may be potential spinal injuries.

Taking a history allows EMTs to identify red flags that may indicate spinal compromise, such as the presence of pain, numbness, weakness, or loss of function in the limbs. This information is critical before any physical examination or imaging, as it guides further assessment and decision-making.

While asking the patient to walk, performing an X-ray, and assessing blood pressure may provide valuable information, these actions are secondary to the initial history-taking process. Understanding the patient's context and symptoms lays the foundation for potential diagnosis and management options.