In the Advanced Trauma Life Support (ATLS) initial assessment protocol, what is the first and most critical component of the primary survey?

Answer and explanation

Correct answer: B. Airway maintenance with cervical spine motion restriction

  1. Step 1: ATLS follows the universal sequence: Airway, Breathing, Circulation, Disability, Exposure (ABCDE).
  2. Step 2: Securing a patent airway while strictly maintaining in-line cervical spine stabilization is the first priority.
  3. Step 3: Hypoxia or airway obstruction will cause fatal arrest before other injuries can be addressed.
Answer
Airway maintenance with cervical spine motion restriction.

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