1st guard recognizes potential spinal injury.   Blows whistle and approaches victim.  Victim is assessed for a spinal injury if any doubt in 1st guard’s mind.

1st guard immediately vice-clamps victim while still standing.

2nd guard approaches 1st guard and victim.  2nd guard should provide support behind the victim by holding under the arms or on the back.

In a slow and continuous motion, 1st and 2nd guard lower victim to a sitting position on the ground

2nd guard places a trap-clamp or a “long-short” clamp at the victim’s head.  1st guard releases vice clamp and prepares to lower victim to supine.

The victim is slowly placed into a supine position while 2nd guard holds clamp.  NOTE:  A towel or blanket may be required to place under the back of the head to prevent the head from hyperextending.

1st guard places victim in a vice clamp while 2nd guard places sandbags on either side of the head.

1st guard stays with victim treating for shock and obtaining history.  2nd guard contacts EMS and brings equipment to victim.  Both guards begin secondary survey.