What is the recommended technique for spinal immobilization during transfer of a suspected spinal injury?

• A. Use a rigid cervical collar, log-roll with head and spine immobilization, maintain inline alignment.
• B. Apply soft collar and twist movement.
• C. Move quickly without immobilization.
• D. Use tape around the torso.

Answer: (A)

To prevent secondary spinal injury during transfer, you immobilize the spine as a unit and keep it in neutral alignment throughout every movement. The best approach is to apply a rigid cervical collar to stabilize the neck, then log-roll the patient as a single unit onto a backboard or immobilization device while maintaining inline alignment of the head, neck, and spine. Secure the patient with straps to prevent any movement and keep the head stabilized to avoid rotation. This method minimizes dangerous motion of the cervical and thoracic spine during transfer.

Soft collars provide less rigid stabilization and don’t adequately prevent movement during handling. Twisting or rapid movements without immobilization can worsen injury. Moving quickly without proper immobilization or trying to hold the torso with tape alone fails to control motion at the neck and spine, increasing the risk of further damage.