During a water rescue where extraction to shore is required, which statement best describes the management of spinal precautions?

• A. Remove spinal precautions to speed extraction.
• B. Maintain spinal precautions during rescue, log-roll if necessary, and move to shore with spine immobilization on a backboard.
• C. Move to shore without immobilization.
• D. Only immobilize the head and neck.

Answer: (B)

Maintaining spinal precautions throughout the water rescue and extraction is essential to prevent secondary injury. If a spinal injury is suspected, keep the spine immobilized during the entire process. Use a log-roll to transfer the patient onto a backboard if needed, then move to shore with the spine secured on the board. This approach minimizes movement of the spine, protecting the spinal cord while the patient is brought to safety and awaiting definitive care. Immobilization typically includes a cervical collar, head stabilization, and properly securing the patient to the backboard with straps to keep the spine in neutral alignment. Do not remove immobilization to speed extraction, and avoid moving the patient without full immobilization. Immobilizing only the head and neck leaves the rest of the spine vulnerable.