Dry Land C-Spine Roll

NOTE:  The victim should first be assessed for ABC’s in the position found.  Only in the case that the victim is not breathing (and breaths cannot adequately be given) or pulseless should the victim be rolled to a supine position.

An unconscious victim with a possible spinal injury may be found in a number of positions due to the numerous possible mechanisms.  For this reason, the best procedure for a dry-land spinal roll is to follow the principles of any spinal: IMMOBILIZATION and ABC’s.  The following is a suggested way of rolling that is well adapted for many situations.

1st guard recognizes unconscious victim in a somewhat prone position and blows whistle.  If any possibility of a spinal injury is present, the victim is treated with such precautions.	The victim is immobilized as best as possible and ABC’s are assessed IN THE POSITION FOUND.
If the victim is not breathing, 1st guard takes out pocket mask and attempts to give 2 breaths.  If breaths cannot adequately be given, the victim must be rolled.  If the victim is pulseless, he/she must be rolled as well. DO NOT ATTEMPT ROLL BY YOURSELF UNLESS BACKUP IS FAR AWAY AND THE VICTIM NEEDS AIR	1st guard places vice-clamp on the back of the victim’s head.  2nd guard uses one of the victim’s arms and one his/her arms (modified trap clamp) to tightly clamp at the victim’s head.
1st guard releases vice-clamp and holds victim at shoulder/hips.  On 3-count, the victim is rolled 90° into a lateral position.	1st guard vice-clamps lateral victim.  2nd guard releases head clamp and repositions trap-clamp to accommodate the remaining roll (this ensures his/her hands won’t get caught under the victim).
1st guard releases clamp and holds victim at shoulder and hips.  On 3-count, victim is rolled to supine position.	1st guard vice-clamps victim on ground.  2nd guard obtains sandbags and places on either side of victim’s head.
1st guard reassesses ABC’s and begins treating for shock.  2nd guard contacts EMS and brings equipment.	Both guards begin secondary survey.