What should be protected at all times during a secondary survey involving spinal injury?

In the context of a secondary survey involving a suspected spinal injury, protecting the spinal cord is critical. The spinal cord is a delicate structure responsible for transmitting signals between the brain and the rest of the body. Damage to the spinal cord can result in serious and potentially permanent neurological deficits, including paralysis or loss of sensation.

During the secondary survey, medical personnel must ensure that any movement of the patient is minimized to reduce the risk of exacerbating existing injuries to the spinal cord. This includes maintaining proper spinal alignment and using appropriate immobilization techniques, such as backboards or cervical collars, to prevent additional harm.

While protecting vertebral arteries, peripheral nerves, and muscles is also important in the overall management of spinal injuries, the spinal cord's integrity is paramount. Injury to the spinal cord can have catastrophic consequences, making it essential to prioritize its protection during examination and treatment.