What is the first step in applying Spinal Motion Restriction (SMR)?

The first step in applying Spinal Motion Restriction (SMR) is manual stabilization of the cervical spine. This process is essential because it serves as an immediate intervention to prevent further injury to the spinal cord or surrounding structures. By manually stabilizing the cervical spine, you are ensuring that any potential movement that could exacerbate injuries is minimized. This stabilization should be maintained until appropriate support, such as a cervical collar, can be properly applied.

The subsequent actions, such as applying a cervical collar or positioning the patient on a spine board, follow after the manual stabilization has been established. While assessing for a significant mechanism of injury is critical in the overall evaluation of the patient, it occurs prior to any specific interventions like SMR techniques. Thus, manual stabilization is prioritized as the initial intervention in this context.