In a suspected neck or back injury after a crash, which action is appropriate?

• A. Leave them in seat and monitor
• B. Apply a blanket and continue
• C. Encourage movement
• D. Remove from seat and immobilize

Answer: (D)

Protecting the spine to prevent further injury is the main idea here. In a crash, if a neck or back injury is suspected, any movement of the spine can worsen damage to the spinal cord, so the priority is to immobilize the spine and transport on a firm surface. Removing the person from the seat and immobilizing them on a backboard (with the head stabilized in line with the spine) gives a controlled, stable alignment from head to hips, reducing the risk of vertebral movement during handling. While you wait for help, maintain in-line stabilization and avoid twisting or bending the neck. The other options don’t provide proper immobilization or even encourage movement that could worsen injury.