What is the first phase of spinal immobilization during a water rescue?

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The first phase of spinal immobilization during a water rescue involves in-water spinal immobilization, which is critical for stabilizing the patient's spine before any extrication occurs. This phase focuses on keeping the cervical spine aligned and minimizing movement, which is essential in preventing potential further injury to an individual who may have sustained a spinal injury in the water.

In-water spinal immobilization techniques may include the use of a spinal board or a combination of manual stabilization and proper positioning to keep the patient's spine immobilized while still in the water. This helps to ensure that any movement during rescue efforts does not exacerbate injuries.

Following this initial phase, other steps, such as the application of a cervical collar, backboarding, and patient extrication, can be carried out safely, but they are contingent upon first ensuring the patient's spine is adequately stabilized in the water.