What technique should be used to establish an airway in a suspected spinal injury victim?

In situations involving a suspected spinal injury, maintaining the integrity of the spinal column while establishing an airway is crucial to prevent further injury. The jaw thrust maneuver is specifically designed to open the airway without requiring movement of the neck, which is essential for spinal injury patients. This technique involves pushing the jaw forward while keeping the neck in a neutral position.

Additionally, spinal immobilization—often using a cervical collar and securing the patient to a spine board—further protects the spine from movement that could exacerbate any existing injury. This approach is critical not only for airway management but also for ensuring the patient's overall safety during emergency interventions.

The head tilt technique is typically used for patients without suspected spinal injuries, as it does require some movement of the neck. Laying the patient flat could also compromise the spinal column if injuries are present. Suctioning the airway, while important in cases of obstruction, does not address the specific need for maintaining cervical stability in spinal injury cases. Therefore, the jaw thrust with spinal immobilization is the appropriate technique to use in these circumstances.