Infants restrained in a rear-facing car seat may be immobilized and extricated in the car seat if:

Infants restrained in a rear-facing car seat may be immobilized and extricated in the car seat if:

• A. immobilization is secure and no signs of respiratory distress or shock
• B. must be removed from the car seat before immobilization
• C. never immobilized in the car seat
• D. should be immobilized outside the car seat

Answer: (A)

When a baby is restrained in a rear-facing car seat, you can immobilize and remove them in the seat if the seat is securely strapped to the immobilization device and the infant is breathing well with stable circulation. The seat provides built-in restraint and helps keep the head and spine aligned, so moving the child as a single unit can be faster and less disruptive than removing them from the seat first, as long as there are no airway or perfusion concerns. If there are signs of respiratory distress or shock, or if the seat is compromised or incorrect to secure, you would not rely on the seat alone and would instead remove the infant to manually immobilize on a board and manage the airway as needed. Options that require removing the infant before immobilization, or immobilizing outside the seat, or never immobilizing in the seat, do not fit the situation where the patient is stable and the seat can provide safe, effective stabilization during extrication.

When a baby is restrained in a rear-facing car seat, you can immobilize and remove them in the seat if the seat is securely strapped to the immobilization device and the infant is breathing well with stable circulation. The seat provides built-in restraint and helps keep the head and spine aligned, so moving the child as a single unit can be faster and less disruptive than removing them from the seat first, as long as there are no airway or perfusion concerns. If there are signs of respiratory distress or shock, or if the seat is compromised or incorrect to secure, you would not rely on the seat alone and would instead remove the infant to manually immobilize on a board and manage the airway as needed. Options that require removing the infant before immobilization, or immobilizing outside the seat, or never immobilizing in the seat, do not fit the situation where the patient is stable and the seat can provide safe, effective stabilization during extrication.