Water Rescue for Suspected Spinal Injury: 7-Step Protocol

For a face-up victim with potential spinal injury in water:

1. Call for Help: Activate EMS immediately.
2. Approach Carefully: Avoid disturbing head/neck; use a pole/board if possible.
3. Manual Stabilization: Hands on both sides of head; maintain neutral alignment with torso.
4. Log Roll to Side: Gently rotate as unit to recovery position (protects airway).
5. Hold Position: Maintain stabilization until EMS arrives.
6. Monitor Breathing: Check airway; start CPR if apneic.
7. Stay & Reassure: Keep victim calm; do not allow movement.

Only attempt if trained and EMS response is delayed.