If spinal patient begins to vomit, 2nd guard should immediately place victim into a secure Canadian spinal clamp on the opposite side of the 1st guard

1st  guard then removes his/her vice clamp and moves to victim’s hips.

On a 3-count, guards roll patient 90º ensuring the entire body rolls as a unit to maintain immobilization:1st guard supports body and reaches over to sweep victim’s mouth.  Once the vomiting has finished a final finger sweep is given and the victim is rolled onto their back.

2nd guard gives victim an immediate breath to ensure airway is clear.  ABC’s are then reassessed.  Procedure continues as normal.

Once boarded and on deck, victim begins to vomit. Guard at body (1st) straddles victim and immediately applies vice-clamp. 2nd guard removes head blocks and hold victim’s head in a trap clamp or long-short clamp.  2nd guard’s elbows should be planted on the board for stability.

On 3-count, 1st guard rolls board 90º (if 2nd guard is using long-short, ensure roll is towards long arm).

Once on the side, 1st guard releases vice clamp, holds board in place with leg, and finger sweeps victim. 

Victim is rolled back to ground.  1st guard holds vice clamp while 2nd guard gives an immediate breath (to ensure airway is clear) and reassesses ABC’s. If victim vomits 3 times or more, he/she should be positioned in a lateral position while still immobilized on board.  Use blocks, towels, kickboards, etc. to support the head in the position found.  Board should be stabilized by guards.