Why is spinal immobilization used in suspected spinal injuries?

• A. To immobilize the spine for the entire course of care
• B. To avoid the need for reassessment during transport
• C. To prevent secondary injury while assessing and transporting; reassess on each patient
• D. To ensure the patient remains completely still at all times

Answer: (C)

Spinal immobilization is used to prevent secondary injury to the spinal cord by restricting movement during the critical period of assessment and transport. In a patient with suspected spinal injury, even small motions can worsen the damage, so keeping the spine aligned with immobilization devices helps protect the spinal cord while you evaluate neurological status, manage airway and breathing, and move the patient to definitive care. Reassessment on each patient is essential because their condition can change and the immobilization may need adjustment or removal for life-saving procedures or airway management. It isn’t meant to keep the patient completely still forever, nor does it eliminate the need for ongoing reassessment.