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In the case of a motorcycle rider involved in a motor vehicle accident with a visible crack in the helmet, what should be the initial action taken?

  1. Remove the helmet

  2. Hold and maintain C-Spine

  3. Administer oxygen immediately

  4. Perform a rapid assessment

The correct answer is: Hold and maintain C-Spine

In the scenario involving a motorcycle rider with a visible crack in the helmet, holding and maintaining cervical spine (C-Spine) alignment is crucial. This action is essential because head and spinal injuries are common in motorcycle accidents. The presence of a cracked helmet indicates a significant impact, which raises the risk of potential trauma to the head and neck. Maintaining C-Spine ensures that any possible spinal injuries are not exacerbated by unnecessary movement during the initial assessment and treatment phase. Stabilizing the cervical spine helps prevent further injury and is a fundamental principle of trauma care, particularly in the pre-hospital environment. While other actions like removing the helmet or administering oxygen may become relevant later in the care process, the immediate priority in this situation is to secure the patient's spine until further evaluation can be performed, especially since the risks of spinal cord injury require utmost caution in handling the patient.