Unfortunately a lot of that focus on c spine has been driven by insurance providers (public and private). The costs of someone surviving with a long term spin

Unfortunately a lot of that focus on c spine has been driven by insurance providers (public and private). The costs of someone surviving with a long term spinal injury are much higher than someone who dies. In wildness first responder training they use to focus so much on c spine it was assured. If someone has an arterial bleed are you really going to make sure you are slow and careful with the spine or are you going to put a tourniquet on it as fast as possible? You should certainly be very careful with possible spinal injury, but it's not always the most important thing.