In suspected C-spine injury, which action is recommended?

• A. Apply traction to the C-spine
• B. Immediately attempt to expose the airway
• C. Maintain C-spine in neutral using manual stabilization
• D. Allow patient movement to relieve pain

Answer: (C)

Protecting the neck from movement is the priority when a cervical spine injury is suspected. The immediate goal is to keep the head and neck in a neutral, in-line position and prevent any further displacement of the vertebrae while you assess and manage the patient. This is done with manual stabilization—gently supporting the head and neck to stop movement. Once neutral alignment is maintained, you can apply definitive immobilization (cervical collar and spinal immobilization device) as soon as possible.

Traction is not used in suspected C-spine injuries because pulling on the head or neck can worsen fractures or displace the spine. Trying to expose the airway or manipulate the neck to do so can also risk moving the spine. Allowing movement to relieve pain is dangerous because even small motions can worsen spinal cord injury. Therefore, keeping the cervical spine in a neutral position with manual stabilization is the appropriate action.