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NPLQ Section 2 / Spinal Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the first action you should take if you suspect a spinal injury in a submerged casualty?✔✔Ensure the casualty’s airway is open while supporting the head and neck to minimize movement.
How should you position a casualty with a suspected spinal injury who is face-down in shallow water?✔✔Use a coordinated log-roll technique to turn them face-up while maintaining spinal alignment.
What is the primary reason for using a spinal board in water rescue?✔✔To immobilize the spine and prevent further injury during extraction from the water.
When should you remove a casualty’s helmet if a spinal injury is suspected?✔✔Only if it interferes with airway management or CPR, and with extreme care to minimize head movement.
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What is the key sign that a submerged casualty may have a spinal injury?✔✔The mechanism of injury (e.g., diving into shallow water) combined with unconsciousness or neck pain.
How do you maintain spinal alignment when moving a casualty from water to land?✔✔Use a team to support the head, neck, and torso simultaneously, avoiding twisting or bending.
Why is it unsafe to use a collar alone for spinal immobilization in water?✔✔It does not fully restrict movement and may compromise airway or breathing in a submerged casualty.
What is the safest way to approach a floating casualty with a suspected spinal injury?✔✔Stabilize the head and neck first before attempting any movement or rescue.
When should you begin CPR on a suspected spinal injury casualty?✔✔Immediately if they are unresponsive and not breathing normally, even if spinal injury is possible.
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