What is the recommended method for handling suspected spinal injuries during patient movement?

• A. Use log-roll technique with inline stabilization and minimal movement
• B. Drag the patient across the ground to speed release
• C. Roll the patient without stabilization then apply stabilization after
• D. Move patient by lifting under arms without any immobilization

Answer: (A)

The key idea is to move the patient with minimal movement while keeping the spine aligned. The recommended method is a log-roll technique in which the patient is rolled as a single unit, with inline stabilization of the head, neck, and spine maintained throughout the turn. This means one team member actively holds the head and neck in a neutral, aligned position while others control the body and legs, rolling together smoothly onto a rigid surface or into a stabilization device. Keeping movement to a bare minimum helps prevent further injury to the spinal cord.

Dragging the patient across the ground or lifting by the arms without immobilization introduces twisting or bending of the spine and can worsen injury. Rolling without stabilizing first allows movement of the spine during the turn, and stabilizing afterward fails to protect the spine during the critical moment of repositioning.