What is the correct approach to transporting a patient with suspected spinal injury?

• A. Immobilize with cervical collar, secure to backboard, minimize movement during transport
• B. Keep patient seated to monitor for signs
• C. Roll the patient to assess for sensation while moving
• D. Allow patient to walk if they can

Answer: (A)

Minimizing movement of the spine is essential when a spinal injury is suspected because even small shifts can worsen a fracture or damage the spinal cord. The best approach is to immobilize the head and neck with a cervical collar, secure the patient to a rigid backboard, and strap them in to keep the spine in a neutral, aligned position during transport. This preserves spinal integrity while you monitor airway, breathing, and circulation and rapidly move the patient to definitive care. Rolling the patient or moving them without maintaining immobilization can stretch or compress spinal structures, and letting them stay seated or walk would introduce dangerous movement, increasing the risk of catastrophic injury.