Which sequence correctly describes performing a log-roll to immobilize a suspected spinal injury?

Which sequence correctly describes performing a log-roll to immobilize a suspected spinal injury?

• A. Roll the patient first, then stabilize the head.
• B. Stabilize the head and long axis, roll the patient as a unit keeping the spine in alignment, then transfer to a rigid board.
• C. Apply a cervical collar and slide onto a board without rolling.
• D. Move the patient onto their side with no alignment checks.

Answer: (B)

When a spinal injury is suspected, the goal is to prevent any movement of the spine during moving and transport. Start by stabilizing the head and keeping the spine in a neutral, straight alignment along its long axis. Then roll the patient as a single unit, together with the head, neck, and torso staying in line, so the spine remains in alignment throughout the maneuver. After rolling, transfer onto a rigid backboard and secure the patient with straps (and a collar as needed) while maintaining that alignment for safe transport. This minimizes any motion that could worsen spinal injury. Rolling before stabilization can allow dangerous head and neck movement; sliding without maintaining alignment can’t reliably prevent spinal motion; moving to the side without alignment checks risks both airway compromise and further spinal injury.

When a spinal injury is suspected, the goal is to prevent any movement of the spine during moving and transport. Start by stabilizing the head and keeping the spine in a neutral, straight alignment along its long axis. Then roll the patient as a single unit, together with the head, neck, and torso staying in line, so the spine remains in alignment throughout the maneuver. After rolling, transfer onto a rigid backboard and secure the patient with straps (and a collar as needed) while maintaining that alignment for safe transport. This minimizes any motion that could worsen spinal injury. Rolling before stabilization can allow dangerous head and neck movement; sliding without maintaining alignment can’t reliably prevent spinal motion; moving to the side without alignment checks risks both airway compromise and further spinal injury.