If the mechanism of injury points to possible spinal injuries, you should

• A. Move quickly to the ambulance
• B. Assume spinal injuries could exist even if unseen, and continue with appropriate care
• C. Remove gear immediately
• D. Administer medications

Answer: (C)

When the mechanism of injury suggests a possible spinal injury, the priority is to prevent any movement of the spine. Treat the patient as having a spinal injury and maintain immobilization throughout care. This means keeping the head and neck aligned, manually stabilizing the neck and applying cervical immobilization if available, and moving the patient only with proper spinal precautions. Leave gear in place to help maintain stability unless it interferes with airway, breathing, or life-saving procedures. Move to transport only with continued spinal precautions, and manage airway, breathing, and circulation without compromising spinal alignment. Medications aren’t the immediate action here; the emphasis is on stabilization and safe, controlled care.