When to Suspect Spinal Injury

Suspect spinal injury after significant falls, vehicle crashes, diving incidents, heavy impacts, head injury or when the casualty has neck/back pain, weakness, numbness or altered sensation.

First Aid

Priority Action
Safety Do not move the casualty unless needed for safety or airway
Support Keep the head, neck and torso as still and aligned as possible
Reassurance Ask the casualty not to move and explain what you are doing
Help Call 000 and follow instructions

Airway Priority

Airway and breathing remain the priority. If the casualty is not breathing normally, open the airway and start CPR. If they vomit or the airway is at risk, roll them only as much as needed while supporting the head and neck.

Position

If the casualty is breathing normally and the scene is safe, leave them in the position found. Continue monitoring response and breathing until emergency services arrive.

Last updated: 11/07/2026