In what order should the phases of spinal immobilization occur during a water rescue?

In the context of a water rescue, the correct sequence for spinal immobilization is crucial to ensure the safety of the patient while managing potential spinal injuries. The process begins with in-water immobilization. This step is vital as it allows rescuers to stabilize the patient's head and neck immediately while still in the water, reducing the risk of further injury during extraction. Rescuing someone from water introduces challenges, such as movement of the patient or potential for hydrodynamic forces, making it essential to secure the head and neck first.

Following in-water immobilization, the application of a cervical collar is the next step. This device provides additional support to the cervical spine and helps maintain alignment as the patient is prepared for extraction from the water.

Finally, backboarding occurs after these steps have been completed. The backboard provides a stable platform for transport and ensures the patient remains immobilized throughout the rescue process. Performing the steps in this order is critical to minimizing the risk of exacerbating a potential spinal injury and maintaining the integrity of spinal alignment throughout the rescue effort.