What should you do for a patient who fell from a height of 12 feet and complains of lower back pain?

In this situation, prioritizing spinal immobilization and conducting a focused secondary examination is essential due to the mechanism of injury and the patient's complaint of lower back pain. Falling from a height of 12 feet poses a significant risk of spinal injuries, which necessitates taking precautions to prevent further harm.

Immobilizing the spine helps to stabilize the patient, minimizing movement and avoiding potential exacerbation of any existing spinal injury. A focused secondary exam allows for a thorough assessment of the patient's condition, enabling the identification of other possible injuries that may not be immediately apparent. This step is crucial because the patient's presentation may evolve as more information becomes available; thus, a systematic evaluation is necessary to respond appropriately to any emerging complications or issues.

Other options may not adequately address the specific concerns associated with the mechanism of injury. For instance, while obtaining a Glasgow Coma Score and administering oxygen are important in cases of head trauma, they may not be the immediate priorities when lower back pain is the primary concern. Allowing the patient to refuse transport could put the patient at significant risk, as even stable vital signs do not rule out severe internal or spinal injuries. Performing a rapid head-to-toe exam and immobilizing the spine could be a valid strategy; however, it may not