In trauma care, how is spinal motion restriction described?

• A. No spinal restrictions
• B. Spinal motion restriction per Skills List
• C. Always hold neck immobilization unless signs of life
• D. Only restrict if crash occurs

Answer: (B)

Spinal motion restriction is described as spinal motion restriction per Skills List. This wording means you follow your EMS agency’s specific Skills List to apply SMR, rather than using a single universal method. It directs you to immobilize and limit movement of the spine according to the approved steps, devices, and indications your system has established, with ongoing reassessment as the patient’s condition evolves. In real practice, you would manage the head and neck stabilization, apply a cervical collar if indicated, and use a backboard or other devices as dictated by the Skills List, while keeping the spine aligned and movement minimal until cleared by protocol. The other options aren’t appropriate because they either assume no spinal protection, or imply immobilization only in certain conditions, or limit it to crashes, which does not reflect standard trauma care where suspicion of spinal injury requires following the established SMR protocol.