When handling a suspected spinal injury in the water, what is crucial for the lifeguard?

Stabilizing the victim's head and neck is crucial when handling a suspected spinal injury in the water because it helps prevent any further injury to the spinal cord. Movement of the head and neck can exacerbate the situation, potentially leading to paralysis or additional damage. By keeping the head and neck steady, the lifeguard minimizes the risk of causing more harm while assessing the victim's condition and preparing for a safe extraction from the water.

In this scenario, securing the victim's arms, while important for overall safety, does not directly address the immediate need to protect the spine. Removing the victim from the water too quickly could lead to unwarranted movement that jeopardizes their safety further. Calling for help is certainly a good protocol, but without taking action to stabilize the victim first, the risk of aggravating the injury increases. The focus must always be on stabilizing the head and neck to ensure the best possible outcome for the victim.