West Coast EMT Block One Exam

What should you do when removing a critically injured patient from a vehicle?

1. A. Release c-spine control to facilitate rapid removal

2. B. Move him or her in one fast, continuous step

3. C. Remove him or her using a short backboard

4. D. Protect the cervical spine during the entire process

The correct answer is: D. Protect the cervical spine during the entire process

Protecting the cervical spine during the removal of a critically injured patient from a vehicle is essential to prevent further injury, particularly to the spinal cord. When a patient has sustained significant injuries, there is a high risk of spinal injury, and improper handling can exacerbate these injuries. By maintaining C-spine stabilization throughout the extrication process, you minimize movement of the head and neck, which is crucial in preserving neurological function and preventing paralysis. This approach involves making sure that whoever is involved in the extrication maintains alignment of the head with the torso. It often entails using a cervical collar and having rescuers coordinate their movements to gently and carefully remove the patient while ensuring that the head does not pivot or rotate in relation to the body. This careful attention to spinal protection is a foundational principle in trauma care and emergency response. In contrast, other options might suggest actions that compromise the integrity of the patient's spine or do not prioritize spinal immobilization adequately. For instance, rapidly moving the patient or releasing C-spine control could lead to unintended movements that put the patient at further risk. Additionally, using a short backboard without proper spinal control might not provide the necessary stabilization, particularly for a critically injured individual. Thus, the emphasis on continuous protection of the cervical spine