How is spinal immobilization maintained during extraction?

How is spinal immobilization maintained during extraction?

• A. Use cervical collar, head immobilization, and secure to backboard; minimize movement
• B. Remove cervical collar to check sensation
• C. Use only a backboard without collars
• D. Rely on vehicle restraints

Answer: (A)

Immobilization during extraction centers on keeping the spine in a neutral, in-line position by controlling movement of the head, neck, and torso. A cervical collar supports the neck and limits movement at the cervical spine. Head immobilization devices keep the head from shifting relative to the spine, preventing small motions that could worsen injury. Securing the patient to a backboard with straps across the chest, pelvis, and legs distributes forces and prevents sliding or twisting as you move the patient out of the vehicle and through equipment. Manual stabilization is used as needed until these devices are in place, and movement is minimized throughout the process. Removing the collar to check sensation or relying on vehicle restraints alone would allow unacceptable movement and fail to protect the spine; a backboard alone without proper head/neck control is not sufficient. The goal is continuous, comprehensive immobilization from head to hips during extraction.

Immobilization during extraction centers on keeping the spine in a neutral, in-line position by controlling movement of the head, neck, and torso. A cervical collar supports the neck and limits movement at the cervical spine. Head immobilization devices keep the head from shifting relative to the spine, preventing small motions that could worsen injury. Securing the patient to a backboard with straps across the chest, pelvis, and legs distributes forces and prevents sliding or twisting as you move the patient out of the vehicle and through equipment. Manual stabilization is used as needed until these devices are in place, and movement is minimized throughout the process. Removing the collar to check sensation or relying on vehicle restraints alone would allow unacceptable movement and fail to protect the spine; a backboard alone without proper head/neck control is not sufficient. The goal is continuous, comprehensive immobilization from head to hips during extraction.