In a pediatric immobilization device, which part should be secured first?

In a pediatric immobilization device, securing the torso first is essential due to its critical role in providing stability and protecting the spine. In children, their body proportions differ from adults, and they often have larger heads relative to their torso. By securing the torso, the device helps to align the spine and prevent unwanted movement, which is crucial in preventing further injury, especially if there is a suspected spinal injury.

Once the torso is securely fastened, the head, legs, and arms can then be appropriately secured, ensuring that all parts of the body are immobilized in relation to the central body mass. This order of immobilization is important not just for spinal stability, but it also helps to calm the child by providing a sense of security, which is particularly important in pediatric care.