- Need for spinal immobilization as determined by protocol
- Gather a backboard, straps, C-collar appropriate for patient’s size, tape, and head rolls or similar device to secure the head.
- Explain the procedure to the patient
- Place the patient in an appropriately sized C-collar while maintaining in-line stabilization of the C-spine. This stabilization, to be provided by a second rescuer, should not involve traction or tension but rather simply maintaining the head in a neutral, midline position while the first rescuer applies the collar.
- Once the collar is secure, the second rescuer should maintain their position to ensure stabilization (the collar is helpful but will not do the job by itself.)
- Place the patient on a long spine board with the log-roll technique if the patient is supine or prone. For the patient in a vehicle or otherwise unable to be placed prone or supine, place them on a backboard by the safest method available that allows maintenance of in-line spinal stability.
- Stabilize the patient with straps and head rolls/tape or other similar device. Once the head is secured to the backboard, the second rescuer may release manual in-line stabilization.
- NOTE: Some patients, due to size or age, will not be able to be immobilized through in-line stabilization with standard backboards and C-collars. Never force a patient into a non-neutral position to immobilize them. Such situations may require a second rescuer to maintain manual stabilization throughout the transport to the hospital.
- Document the time of the procedure in the patient care report (PCR).