What is the primary assessment priority when a spinal injury is suspected?

When a spinal injury is suspected, ensuring airway patency takes precedence because an obstructed airway can lead to respiratory failure and is a critical component of life-saving measures. A spinal injury may compromise the patient's ability to breathe effectively due to muscle paralysis or impaired neurological function, making it vital to first confirm that the airway is clear and functional.

While assessing head injuries, evaluating the patient's level of consciousness, and performing a rapid body check are also important, they come secondary to managing the airway. If the airway is not adequately addressed, the risk of hypoxia increases, jeopardizing the patient's chances of recovery, regardless of any other assessments performed. Thus, prioritizing airway management directly addresses the most immediate threat to life in the context of a suspected spinal injury.