West Coast EMT Block One Exam

What technique should be used when performing a log roll for spinal immobilization?

1. Rolling the patient towards the rescuer

2. Rolling the patient away from the rescuer

3. Rolling the patient on their side

4. Rolling the patient to an upright position

The correct answer is: Rolling the patient away from the rescuer

When performing a log roll for spinal immobilization, rolling the patient away from the rescuer is the correct technique. This method allows for maintaining spinal alignment and minimizing movement of the injured spine, which is crucial for preventing further injury, especially in cases of suspected spinal damage. By rolling the patient away, the rescuers can maintain control of the head and neck, preserving the alignment of the spine throughout the process. Additionally, this approach aligns well with the principles of using a long spine board, as it allows for the board to be placed beside the patient effectively without compromising spinal integrity. In contrast, other techniques such as rolling the patient towards the rescuer could introduce unnecessary risk of rotation or flexion of the spine, which could exacerbate any potential spinal injuries. Rolling the patient on their side or to an upright position would also pose risks of additional movement to the spine, which is not advisable in spinal immobilization scenarios. Therefore, rolling the patient away from the rescuer is the safest and most effective technique for spinal immobilization during a log roll.