Spinal precautions

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Spinal precautions or spinal immobilization are efforts to prevent movement of the spine in those with a risk of a spinal injury.[1] This is done as an effort to prevent further injury to the spinal cord.[1]


Will long spine boards are often used in the prehospital environment there is little evidence to support their use.[2] Concern with use include: pain, agitation, and pressure ulcers.[2]

Using a hard cervical collar and attaching a person to an EMS stretcher may be sufficient in those who were walking after the accident or during long transports.[2]


  1. ^ a b Pollak, Andrew (1999). Refresher: Emergency Care and Transportation of the Sick and Injured. p. 302. ISBN 9780763709129. 
  2. ^ a b c White CC, 4th; Domeier, RM; Millin, MG; Standards and Clinical Practice Committee, National Association of EMS, Physicians (Apr–Jun 2014). "EMS spinal precautions and the use of the long backboard - resource document to the position statement of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma.". Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors 18 (2): 306–14. doi:10.3109/10903127.2014.884197. PMID 24559236.