During transport of a patient with suspected spinal injury, how should immobilization be maintained?

• A. Remove the collar and move independently
• B. Maintain a rigid collar, secure alignment on a long spine board, and move as a unit with minimal manipulation
• C. Use a soft collar and reposition frequently
• D. Place the patient in a side-lying position for comfort

Answer: (B)

Preventing movement of the spine during transport is essential to avoid worsening a potential spinal cord injury. The best approach is to keep a rigid cervical collar in place to support the neck, secure the patient to a long spine board to maintain overall spine alignment, and move as a single unit with minimal manipulation to prevent rotation, flexion, or extension of the spine. Removing the collar, using a soft collar, or repositioning frequently can allow dangerous movement and increase risk of further injury. Side-lying may be considered for airway or comfort, but it should not compromise immobilization or alignment; the priority is maintaining rigid immobilization and moving the patient only as a unit.