When immobilizing the spine of an injured infant for a fall from 3 feet, which of the following is appropriate?

• A. A full cervical collar applied at the scene
• B. A small towel can be used for cervical spine support
• C. No immobilization required because fall was minor
• D. Move the child before immobilizing

Answer: (B)

When an infant may have a spinal injury, the priority is keeping the neck in as neutral and stable a position as possible while avoiding anything that could compromise the airway. Rigid cervical collars are often not practical or ideal for infants because they may not fit properly and can crowd the airway or cause discomfort. A small towel provides a gentle, flexible way to support the cervical spine and head, keeping the neck aligned without constricting breathing or airway access. You can place a small towel under the head and around the sides to cushion and stabilize, then maintain gentle in-line stabilization while preparing to move or secure the child on a backboard. This approach minimizes movement and protects the spine while allowing you to monitor for breathing and airway issues. In contrast, using a full cervical collar at the scene is not appropriate for an infant, and delaying immobilization or moving the child before securing them increases the risk of worsening a spinal injury.