What is the recommended technique for moving a patient with suspected spinal injury?

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Maintaining spinal alignment during movement is essential when a spinal injury is suspected. The best technique is to have one rescuer provide manual stabilization of the head and neck in line with the spine while others roll the patient as a unit onto an immobilization device, such as a backboard or vacuum mattress. Once on the device, secure the patient with straps and continue to maintain in-line stabilization during the transfer to the stretcher. This approach minimizes head and neck motion, reducing the risk of chemical or mechanical injury to the spine during movement. In-line stabilization means keeping the head, neck, and spine aligned and avoiding flexion, extension, or rotation throughout the process. Rapid lifts without roll, dragging across the ground, or moving quickly without immobilization can all cause dangerous movement of the spine and worsen injury.