Prepare for the Trauma Nurse Core Course (TNCC) Test. Boost your confidence with multiple-choice questions, hints, and detailed explanations. Ace your exam now!

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Which of the following is true about the log roll maneuver?

  1. It causes less spinal motion than the lift and slide maneuver

  2. It is recommended for patients with unstable pelvic fractures

  3. It can worsen cord damage from an unstable spinal injury

  4. It does not increase the risk of life-threatening hemorrhage

The correct answer is: It can worsen cord damage from an unstable spinal injury

The log roll maneuver is specifically designed to move a patient while maintaining spinal alignment, which is critical in minimizing complications in certain traumatic injuries. When the log roll is performed correctly, it can help protect the spinal column by keeping the head, neck, and trunk in a straight line during the movement. However, if a patient has an unstable spinal injury, executing this maneuver can potentially exacerbate any existing cord damage. The movement of rotating the body can shift the vertebrae and increase the risk of further injury to the spinal cord. This risk of worsening cord damage is particularly important to recognize in trauma situations where the stability of the spine is compromised. By understanding the mechanics of the log roll and its effect on the spine, healthcare providers can make better decisions about how to transport and manage patients with suspected spinal injuries.