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What in-line stabilization technique should be used for a responsive victim with suspected neck or spinal injuries on a backboard?

  1. The head and chin support.

  2. The hand hold position.

  3. The over-arm head splint.

  4. The recovery position.

The correct answer is: The over-arm head splint.

The over-arm head splint is the appropriate in-line stabilization technique for a responsive victim with suspected neck or spinal injuries who is being prepared for transport on a backboard. This technique involves placing the hands over the victim's head to immobilize and support the neck and head while keeping the spine aligned. It is key in minimizing movement during transport, which is crucial for preventing further injury to the spinal cord. This method allows for a firm yet gentle support, ensuring that the head remains stabilized while the lifeguard monitors the victim's responsiveness and maintains airway control. The goal is to keep the victim as still as possible while providing necessary assistance until further medical help can arrive. Other methods, such as the head and chin support, are not as effective in providing comprehensive spinal protection for a victim in this specific scenario. That option primarily focuses on securing the head without adequate spinal alignment. Hand hold positions and recovery positions are also less suitable as they do not provide the same level of stabilization required for potential neck or spinal injuries.