During a rapid extrication, what is the first step once the patient is in position?

In the context of a rapid extrication, stabilizing the head and neck of the patient is crucial as the first step after getting the patient into position. This process is vital for preventing any potential spinal cord injuries, especially in cases where the mechanism of injury suggests that these areas may be compromised. By stabilizing the head and neck, EMTs help to minimize movement that could exacerbate any existing injuries, ensuring that the patient's condition does not worsen.

Following this stabilization, other procedures can be carried out, such as assessing vital signs, which is important but comes after ensuring the safety of the cervical spine. Likewise, while CPR is critical in cases of cardiac arrest, it is not applicable here unless the patient is indeed unresponsive and in need of resuscitation at that time. Securing the patient with straps is also necessary for safe transport, but it should follow the stabilization step to ensure that the patient is properly secured without any risk of further injury. Thus, the emphasis on head and neck stabilization first reflects best practices in emergency care.