Recovery Position: Step-by-Step for Unconscious Breathing Adults

The recovery position maintains a patent airway in an unconscious, breathing person by allowing gravity to drain secretions and preventing tongue obstruction.

Step-by-Step (Left Lateral Preferred)

1. Scene safety — check for hazards.
2. Kneel beside victim at chest level.
3. Arm nearest you at right angle, palm up.
4. Far arm across chest, back of hand against near cheek.
5. Far knee bent, foot flat on floor.
6. Roll toward you by pulling bent knee — head rests on near hand, airway open.
7. Adjust: Tilt head back slightly (chin lift); ensure mouth angled downward.
8. Monitor breathing continuously; be ready for CPR.
9. Call EMS if not already done.

Special Situations

• Suspected spinal injury: Log-roll with 2+ rescuers maintaining inline stabilization; jaw-thrust only.
• Pregnancy (>20 wks): Left lateral preferred — avoids aortocaval compression.
• Vomiting: Immediate roll to side; clear mouth; return to recovery position.

Common Errors

• Not bending the knee → unstable roll.
• Head not supported → airway occlusion.
• Leaving on back "just for a minute."

Practice regularly — muscle memory saves lives.