When immobilizing a patient with suspected spinal injury, which sequence is recommended?

• A. Immobilize the head first, then the torso.
• B. Immobilize the torso first, then the head.
• C. Immobilize the head after immobilizing the torso.
• D. Apply vest-style device before immobilization.

Answer: (C)

When a spinal injury is suspected, the goal is to prevent any movement of the spine during handling. The safest sequence is to first immobilize the torso to the immobilization device, stabilizing the central axis, and then immobilize the head so it remains aligned with the spine. By securing the torso first, you minimize the risk of transferring movement to the spine while you position and stabilize the neck. Once the torso is firmly secured, applying a cervical collar and using head immobilizers keeps the head in line with the rest of the spine, which helps prevent flexion, extension, or rotational stresses during transport. Applying a vest-style device before immobilization can complicate or delay proper stabilization and does not replace the need to secure the torso and head in the correct order.