During a primary survey after a motor vehicle collision, which should be the first action taken by the nurse?

In a primary survey following a motor vehicle collision, the foremost priority is to ensure the airway is open and clear, which is critical for effective ventilation. The jaw thrust maneuver is a recommended technique, especially for potential spinal injury scenarios, as it minimizes further movement of the cervical spine while attempting to secure the airway.

Establishing IV access is vital for administering fluids or medications but is secondary to ensuring that the patient can breathe adequately. Performing a Glasgow Coma Scale assessment is essential for determining the level of consciousness, but it should occur after airway management. Removing clothing is important for a thorough assessment, but this action also comes after addressing the primary concerns related to airway, breathing, and circulation in the immediate aftermath of trauma. Addressing the airway first is consistent with the ABC (Airway, Breathing, Circulation) approach in emergency care, which emphasizes that the airway must be secured before proceeding with other assessments and interventions.