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How to immobilize a patient                   Is there any indication of spinal injury? (paralysis, focal neurologic deficit) YES Fully immobilize with backboard, c-collar, and CIDs       NO Is the patient unable to follow commands AND intoxicated, combative, or confused? YES Fully immobilize with backboard and CIDs       NO Is the pt alert with any of the following: *neck pain, midline neck or spinal tenderness *pain on motion of the neck *older than 65 or younger than 8 *high risk mechnism (high speed MVA, fall greater than 10ft, etc) YES Place c-collar and move pt in-line to cot. Ambulatory pts may walk to cot and assisted onto cot as an in-line unit.       NO Does the pt have penetrating trauma to the torso or neck AND neurological signs or paralysis? YES Fully immobilize with backboard, c-collar, and CIDs       NO Apparently the pt does not need immobilized