What is the priority for a patient with suspected spinal injury during rescue?

What is the priority for a patient with suspected spinal injury during rescue?

• A. Immobilize the spine only; transport as soon as possible.
• B. Immobilize the spine, maintain airway, breathing, circulation, and prepare for transport.
• C. Proceed with rapid movement to move patient to vehicle.
• D. Mobilize the patient without immobilization and reassess later.

Answer: (B)

When a spinal injury is suspected, the immediate priority is to prevent further damage to the spine while ensuring the patient’s vital life-support needs are met. This means immobilizing the spine to minimize movement and in-line stabilizing the head and neck, while concurrently assessing and supporting airway, breathing, and circulation. Secure the patient to a rigid surface, apply a cervical collar if available, and manage the airway without releasing immobilization. If breathing is compromised, provide appropriate airway support and oxygen while maintaining spinal alignment. Once the airway and breathing are stabilized, prepare the patient for rapid transport to definitive care. Movement without immobilization or rushing transport at the expense of airway or spinal protection can worsen injury, which is why this integrated approach is the best choice.