Apply spinal motion restriction after a trauma screen

Practice the sequence you already learned for “Apply spinal motion restriction after a trauma screen” until the order feels automatic. Drill the PHTLS / NEXUS restriction order from EMS training. Mechanism alone does not put every trauma patient in a collar. Secure torso before head, then reassess PMS.

1. Hold manual c-spine as you begin the assessment.
2. Run the NEXUS-style screen: reliability, midline pain, neuro findings, intoxication, and distracting injury.
3. Size a collar if restriction is indicated.
4. Apply the collar while manual stabilization is held.
5. Log-roll or scoop onto the device with the team.
6. Secure the torso first.
7. Secure the head last.
8. Reassess PMS.
9. If the rule is negative, release manual stabilization.
10. Document the screen.