Yeah, thank fuck we have new protocols that let us decide whether or not our patients need full cspine. I recently had to do that in a nasty MVA where I felt my first legit step off! Ive been to plenty of MVAs but never once had felt that on a spine before. Poor old lady was driving towards the sunset and turned left in front of another car that she didn't see. Fully immobilized her, she was AxO to barely herself and quickly deteriorated during our 3 Mile drive to the trauma center. We ended up bagging her during transport. No idea what her outcome was afterwards. It's amazing how smooth a transport can be when you are working with a great medic!  I do love getting to be stern with fatties when they feel like they can't move. And half of the time they already have a 'hospital stay over bag' packed by the time we get to their bullshit call. I hate fatties so much.