What is the primary goal of immobilizing a patient with a suspected spinal injury during transport?

• A. to maximize speed
• B. to maximize airway management
• C. to improve patient comfort only
• D. to prevent motion of the spine

Answer: (D)

Preventing motion of the spine to protect the spinal cord is the primary goal when transporting someone with a suspected spinal injury. Even a small movement can worsen a spinal injury by shifting vertebrae, tearing tissues, or compressing neural structures, leading to greater neurologic damage. By keeping the head, neck, and torso in alignment and using tools like a cervical collar and a rigid backboard, we minimize flexion, extension, rotation, and twisting during movement. Airway and comfort are important, but they are addressed within the context of maintaining spinal precautions; rushing or moving without immobilization can undo the protection we’re trying to provide.