What is spinal immobilization technique when the patient is cramped in a vehicle?

• A. Use manual inline stabilization and secured immobilization devices to minimize movement.
• B. Apply aggressive cervical immobilization while the patient is moving.
• C. Avoid immobilization to prevent additional pain.
• D. Only immobilize after extrication is complete.

Answer: (A)

When a patient is cramped in a vehicle, the key is to minimize any movement of the spine during handling. Start with manual inline stabilization to keep the head and neck in a neutral, aligned position. Then apply a cervical collar and secure the patient to an immobilization system (such as a long spine board or scoop stretcher) with straps and padding to limit movement in all directions. This combination protects the spine while you work the patient free and transfer them to a safer surface.

Moving aggressively or ignoring immobilization would raise the risk of worsening a spinal injury, and waiting until after extrication to immobilize leaves the spine unprotected during the critical handling phase.