New Mexico Scope of Practice EMT Practice Exam

Protecting the spine during transfer means keeping the neck from moving. Begin with manual in-line stabilization so the head and neck stay aligned with the spine as you prepare to move. Then apply a cervical collar to provide rigid neck support. Finally, immobilize the patient to a spine board with proper head stabilization and straps so the entire body remains in alignment during transport. This sequence minimizes movement at every stage—from assessment to transfer to the ambulance—reducing the risk of worsening spinal injury.

Removing the helmet and moving quickly can allow dangerous neck movement; applying only a collar without manual stabilization leaves the neck vulnerable; and ignoring spinal precautions to speed transport greatly increases the chance of secondary injury.