What steps are essential when a spinal injury is suspected on the field?

• A. Assume spinal injury, immobilize head and neck in neutral with manual stabilization, do not move, call EMS, monitor airway
• B. Move the athlete to a seated position and assess movement
• C. Remove protective gear immediately to assess alignment
• D. Start active rehabilitation on-site to prevent stiffness

Answer: (A)

When a spinal injury is suspected on the field, the priority is to prevent any movement of the spine and protect the airway while waiting for help. Start with head and neck in a neutral position and use manual stabilization to keep the spine in line—do not turn, bend, or twist the neck. The goal is to keep the athlete still so as not to exacerbate any potential damage.

Call emergency services immediately and continue to monitor the airway, breathing, and circulation. If the person is unconscious, be prepared to manage the airway without moving the neck and only perform life-saving procedures as needed. Do not remove protective gear or attempt to realign the spine, and avoid on-site rehabilitation or movement unless absolutely necessary to save life.

These steps minimize risk of secondary injury and ensure professional immobilization and transport are provided as quickly as possible.