Which group of trauma patients must always be immobilized with both a C-collar and spinal restriction device?

Prepare for the Greater Miami Valley EMS Council Protocol Exam. Utilize flashcards and multiple-choice questions with detailed explanations to enhance your understanding and readiness for the test!

The correct answer is that pediatric patients under 3 years with a Glasgow Coma Scale (GCS) of less than 15 must always be immobilized with both a cervical collar and a spinal restriction device. This is crucial due to the unique anatomical and physiological differences in young children compared to adults. Pediatric patients are particularly vulnerable to spinal injuries, and their smaller size and developing structures require careful attention to prevent exacerbating any potential injuries during transport.

Children under three years are still developing their neck muscles and ligaments, making them more susceptible to cervical spine injuries. An altered GCS indicates a change in their level of consciousness, which raises concerns about potential head injuries or other trauma that may not be immediately outwardly apparent.

In contrast, while other patient groups like the elderly, adults with altered mental status, or those with spinal deformities may also require caution and a low threshold for immobilization, the specific requirement for both a C-collar and a spinal restriction device is highlighted most critically for pediatric patients under three years old, particularly when there is a concern for head injury or non-accidental trauma. This ensures that the risk of further injury is minimized.

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