Spinal Motion Restriction

Immobilize the patient by using Full Spinal Immobilization if patient has a significant mechanism with the potential for causing spinal injury and meet ANY of the following clinical criteria:

A.     Altered mental status.

B.     Evidence of intoxication.

C.     Distracting pain/injury/emotional distress (i.e., extremity fracture).

D.     Neurologic deficit (numbness, tingling, paralysis) in any extremities.

If none of the above are present, then application of a cervical collar and transport in minimal restriction on the EMS gurney.

Selective Spinal Immobilization Skill Verification Table

Selective Spinal Immobilization





5 (instructor)


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Oregon EMS Psychomotor Skills Lab Manual Copyright © 2023 by Chris Hamper, BS, NRP; Carmen Curtz, Paramedic, BS; Holly A. Edwins, Paramedic, B.S.; and Jamie Kennel, PhD, MAS, NRP is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted.

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