Who is responsible for directing movement during spinal immobilization?

The individual positioned at the patient's head plays a critical role in directing movements during spinal immobilization. This position allows them to maintain direct communication with the patient, assess their condition, and monitor any changes in their responsiveness or airway during the process. Additionally, the head position allows for better visibility of the patient's alignment and ensures that the spine remains neutral and protected while being moved.

By leading the movement, the head person can coordinate the timing and method of the immobilization process effectively. This helps prevent any unnecessary movement of the spine, which could exacerbate potential injuries. In contrast, the other roles, such as the person at the patient's feet or bystanders, do not have the same level of control or oversight for spinal integrity during this critical handling step.