In water rescue, spine protection involves using which immobilization method during extraction?

• A. Ignore potential injuries until onshore.
• B. Use a cervical collar, backboard, or spinal immobilization method to prevent further injury during extraction.
• C. Use flotation devices only.
• D. Remove all gear immediately to avoid discomfort.

Answer: (B)

Spine protection in water rescue hinges on keeping the head, neck, and spine from moving during extraction. The correct approach is to immobilize the spine by applying a cervical collar and securing the person to a backboard or other spinal immobilization device, then carefully moving them to safety while maintaining alignment. This minimizes the risk of causing or worsening a spinal injury as you transfer the casualty through water or over obstacles. Relying only on flotation devices does not stabilize the spine, and removing gear or delaying immobilization can increase the chance of secondary injury, so immobilization is essential for a safe extraction.