North Carolina EMT State Practice Exam

Patients with suspected spinal injuries should be immobilized in what position?

1. Seated position

2. Supine position

3. Trendelenburg position

4. Recovery position

The correct answer is: Supine position

Patients with suspected spinal injuries should be immobilized in the supine position to ensure maximum stability and minimize movement of the spinal column. This position helps to align the body in a neutral way, reducing the risk of further injury to the spinal cord or surrounding nerves. Immobilization in the supine position allows for appropriate application of cervical collars and backboards, which are critical for maintaining spinal alignment during transport. It also facilitates airway management, as the supine position can help maintain a clear airway for the patient, which is a priority in emergency medical care. Other positions, such as the seated position, are not appropriate for patients with suspected spinal injuries because they can lead to twisting or flexing of the spine, increasing the risk of exacerbating potential injuries. Similarly, the Trendelenburg position, which involves tilting the body with the legs elevated, is not suitable due to potential complications with spinal alignment and airway management. Lastly, the recovery position, although useful for unresponsive patients who are breathing adequately, is contraindicated for those with suspected spinal injuries, as it can also lead to unwanted movements of the spine. Thus, the supine position is the medically sound choice for immobilization in these cases.