When should musculoskeletal injuries be splinted before moving the patient?

• A. Deformity and swelling present.
• B. Transport time less than 15 minutes.
• C. The patient is in severe pain.
• D. The patient is clinically unstable.

Answer: (D)

Immobilize the injury before moving when the patient is clinically unstable. If vital signs are not stable—risk of shock, airway or breathing concerns, or other life threats—the priority is to stabilize quickly to prevent deterioration during transport. A quick splint helps limit movement, protect neurovascular structures, and reduce pain, allowing safer and faster transfer to definitive care.

Deformity and swelling, a short transport time, or severe pain alone don’t automatically require or excuse delaying or skipping splinting; stability drives the decision to immobilize first. Always address life threats first and then immobilize as needed to move safely.