12/03/2026
First Aid Friday -Initial Management of Suspected Spinal Injury
Head injury/major trauma – think spinal injury. The risk of worsening a spinal injury before hospitalisation has probably been overstated however care must be taken to minimise any secondary injury. Caution must be taken when moving a person with a suspected spinal injury. Of note the cervical spine is particularly vulnerable and anyone with a traumatic head injury should be treated as if their spine is injured. Airway management should take precedence over concern about any suspected spinal injury. Use spinal board only if the person must be moved before the ambulance arrives. The use of cervical collars in the prehospital setting is not recommended.