For restricting movement of the spine when injury is suspected, which protocol is applied?

• A. The protocol for managing submersion injuries.
• B. The protocol for managing hemorrhage.
• C. The protocol for managing head injuries.
• D. The protocol for spinal motion restriction.

Answer: (D)

When there’s a suspected spinal injury, the priority is to prevent any movement of the spine to avoid worsening damage to the spinal cord. The protocol that fits this scenario is spinal motion restriction. It centers on keeping the spine in as near to its normal position as possible, using in-line stabilization, applying a cervical collar if available, and immobilizing the patient on a rigid surface like a backboard while minimizing handling during assessment and transport. This approach is distinct from submersion injury protocols (focused on drowning-related airway and breathing issues), hemorrhage protocols (prioritizing bleeding control and circulation), and head injury protocols (aimed at preventing secondary brain injury and monitoring neuro status). Applying spinal motion restriction reduces the risk of further spinal injury during movement and transport.