What procedure should be followed if a casualty is suspected of having a spinal injury?

The procedure to follow when a casualty is suspected of having a spinal injury is to immobilize the cervical spine and avoid any movement. This is critical because spinal injuries can result in significant neurological damage if the spine is subjected to any movement. By stabilizing the cervical spine, you minimize the risk of exacerbating the injury which could lead to paralysis or other severe complications.

Immobilization is key to preventing additional injury during transport or medical care. It ensures that the spinal column remains stable, thus protecting the spinal cord and nerve roots from further harm. This approach aligns with best practices in trauma care, emphasizing cautious assessment and treatment of potential spinal injuries.

Other procedures, such as assessing motor functions before moving, may lead to unnecessary movements that can worsen the injury. Administering pain relief before a thorough assessment could mask critical symptoms that are necessary for an accurate diagnosis. Assisting the casualty to a sitting position for evaluation is not advisable as it can put additional strain on the spine, potentially causing further injury.