Emergency Guidance

Pre Hospital Care After Spine Trauma

First steps that protect the spine before hospital arrival.

Key Takeaway

Keep the injured person still and call emergency help — careful handling protects the spinal cord before hospital arrival.

After a fall, road accident, or sports injury, careful handling can prevent further spinal cord damage. Follow these principles until trained help arrives.

Do Not Move Unnecessarily

Keep the injured person still. Avoid twisting the neck or back. Only move if there is immediate danger (fire, traffic).

Call Emergency Services

Contact emergency responders promptly and share details of the mechanism of injury and any neurological symptoms.

Support Head & Neck

If trained, maintain in-line cervical stabilization. Do not remove a helmet unless airway access is required.

Monitor Breathing

Ensure the airway is open and breathing is adequate. Watch for chest movement and skin color changes.

Avoid Sitting Up

Do not help the person sit, walk, or stretch. Wait for proper spinal immobilization equipment.

Share Key History

Note loss of consciousness, limb weakness, bowel/bladder changes, and time of injury for the hospital team.

Warning signs after trauma

  • Neck or back pain after impact
  • Inability to move arms or legs
  • Numbness or tingling
  • Breathing difficulty
  • Loss of bladder or bowel control

Seek specialist spine care urgently after trauma