What is the proper approach to transporting a person with a suspected spinal injury?

• A. Do not move them; keep spine immobilized and wait for EMS; use methods that minimize movement.
• B. Move them to a chair for evaluation.
• C. Allow them to walk to the ambulance.
• D. Sit them upright in a car.

Answer: (A)

The main idea is to prevent any movement of the spine when a spinal injury is suspected. Moving the spine can worsen damage to the spinal cord, so the best approach is to keep the person still, stabilize the head and neck in line with the body, and await emergency medical services. Use proper immobilization devices (like a cervical collar and a backboard) and minimize movement during any transport.

Why this is the best approach: the spinal cord is delicate, and even small shifts can cause paralysis or other serious complications. By immobilizing the spine and transferring care to trained responders, you reduce the risk of further injury.

Options that involve moving the person to a chair, allowing them to walk, or sitting upright in a car would increase movement of the spine and could worsen injury, so they’re not appropriate unless there is an immediate, unavoidable danger that requires moving for safety.