In moving a patient with a potential spinal injury aboard a vessel, what is the recommended immobilization method?

• A. Immobilize with neck brace and board
• B. Move quickly to safety without immobilization
• C. Offer support with pillows and cushions only
• D. Ignore until on land

Answer: (A)

When there’s potential for a spinal injury, the priority is to prevent any movement of the head, neck, and spine to protect the spinal cord from further damage. Using a cervical neck brace together with a rigid backboard provides firm, in-line stabilization of the entire spine while you move or transport the patient aboard a vessel. This setup minimizes motion at the neck and along the spine, making safe transfer to treatment areas possible even in rough conditions.

The other approaches don’t offer the same level of protection. Moving quickly without immobilization risks aggravating a spinal injury. Relying on pillows and cushions only provides soft support and does not prevent spinal movement. Delaying immobilization until arrival on land postpones critical care and increases the chance of worsening injury.