Topic overview

Start with the big picture

Consider spinal injury after high-energy trauma or when neurological symptoms such as tingling, weakness, or incontinence are present. Initial care includes activating emergency services, using appropriate protective equipment, and arranging spinal support early. During the primary survey, manual in-line cervical stabilization is maintained before airway maneuvers; jaw-thrust is preferred over head-tilt/chin-lift. Handling and immobilization should preserve neutral alignment, with movement limited to what is necessary for safety or assessment. ABCDE reassessment and neurological checks continue through care, while life-threatening problems take priority. The deeper lesson develops these principles across scene approach, airway management, patient handling, resuscitation, and considerations such as neurogenic shock and medication use.