During evacuation of a casualty with suspected spinal injury, which technique ensures head and spine alignment?

• A. Carrying By The Torso Only
• B. Let The Casualty Move Themselves
• C. Log-Roll Technique With Inline Immobilization
• D. Place Head Down

Answer: (C)

Preserving spinal alignment during movement is crucial when a spinal injury is suspected. The log-roll technique with inline immobilization achieves this by moving the casualty as a single unit while keeping the head, neck, and spine in a straight, neutral line and securing them to prevent any rotation or flexion during transfer onto a backboard or other immobilization device.

In practice, several rescuers coordinate to roll the person together, with one person carefully supporting the head and maintaining its alignment with the spine throughout the roll. After turning, the casualty is placed on a immobilization device, a cervical collar is applied, and straps are used to secure the body, ensuring the spine remains in a fixed position during evacuation.

Other options fail to protect the spine properly. Carrying by the torso alone can allow the head and neck to twist or bend. Letting the casualty move themselves risks uncontrolled movements of the head and neck. Placing the head down would create neck flexion and misalignment, compromising the spinal column during transport.