What must all patients with clinical indications of a spinal injury or altered levels of consciousness be immobilized with?

Patients who present with clinical indications of a spinal injury or altered levels of consciousness require careful and immediate management to prevent further injury. The correct practice involves the use of both a C-collar and a spinal restriction device.

The C-collar, or cervical collar, is critical as it helps to stabilize the cervical spine by preventing unwanted movement of the neck, which is crucial in preventing exacerbation of potential spinal cord injuries. It serves to decrease the risk of damage from movement during the transport or treatment of the patient.

In addition to the C-collar, a spinal restriction device, such as a backboard or a vacuum mattress, is necessary to provide complete immobilization of the spine. This device keeps the patient's body in a neutral position, ensuring that the entire spine is protected and maintained in alignment during transport. This dual approach is fundamental to managing patients who may have serious spinal injuries or altered levels of consciousness, as any movement could potentially lead to further neurological damage.

Therefore, the combination of both the C-collar and the spinal restriction device is essential for the safety and well-being of the patient during emergency medical interventions.