When performing a log roll to place a patient with suspected spinal injury on a backboard, what should you maintain?

When performing a log roll on a patient with a suspected spinal injury, it is crucial to maintain manual cervical spine immobilization even after a cervical collar has been applied. This is essential because the cervical spine is highly vulnerable to further injury during movement. By maintaining manual control, you ensure that the head and neck remain stable, thus minimizing the risk of exacerbating any existing spinal injuries.

The log roll technique involves a coordinated effort between the responding personnel to move the patient while keeping the spine aligned. The cervical collar does provide some level of stabilization, but it does not eliminate the need for continued manual protection. If the patient’s head or neck were to shift while being turned or transferred to the backboard, it could lead to serious complications, including increased neurological damage.

Therefore, maintaining manual c-spine immobilization throughout the process is paramount for the safety and well-being of the patient. This practice is aligned with the principles of spinal immobilization and trauma care.