What is the recommended method for transferring a patient with a suspected spinal injury?

• A. Log roll without stabilization onto a soft cot
• B. Manual inline stabilization with log roll onto a secured spine board
• C. Transfer with patient seated in vehicle seat belt only
• D. Quick transfer without immobilization

Answer: (B)

When a spinal injury is suspected, keeping the neck and spine in proper alignment during movement is the priority. The best approach is to maintain manual inline stabilization of the head and neck while a team carefully log-rolls the patient onto a secured spine board, preserving neutral alignment throughout the transfer. Once on the board, the patient should be immobilized with straps and a head immobilizer to prevent any movement in all planes. This sequence minimizes the risk of aggravating a spinal injury and protects the spinal cord during handling and transport.

Transferring onto a soft cot without stabilization, or using only a seat belt, or moving quickly without immobilization, all allow movement of the spine. Such movement can worsen injury, potentially causing real neurological damage or increasing pain and instability. The immobilization process is designed to keep the spine stable from the initial assessment through transport to definitive care.