Which resuscitation sequence matches the recommended trauma protocol: protect spine first, then airway, then oxygen, then chest compressions?

• A. Clear the airway, provide oxygen, start chest compressions, protect cervical spine
• B. Protect cervical spine, clear the airway, provide oxygen, start chest compressions
• C. Clear the airway, protect cervical spine, provide oxygen, start chest compressions
• D. Protect cervical spine, provide oxygen, clear the airway, start chest compressions

Answer: (D)

In trauma care, protecting the spine takes automatic priority to prevent any movement that could worsen a spinal injury. Once the spine is stabilized, the next step is to ensure the patient is getting oxygen, because maintaining adequate oxygen delivery is critical to brain and tissue viability during any emergency. After establishing oxygenation, the airway can be cleared if needed so that ventilation remains effective. Only after these steps should chest compressions be started if there is no pulse or there is arrest, since effective CPR relies on a secure airway and adequate oxygenation first. This sequence emphasizes keeping the spine still, then quickly prioritizing oxygenation, followed by airway patency, and finally resuscitation efforts as indicated.