C-Spine Immobilization & Stretcher Transfer: 10-Step Protocol

For suspected spinal injury, maintain strict alignment during movement:

1. Prepare: Cervical collar, long backboard, straps, stretcher; minimum 3–4 rescuers.
2. Position: Supine on firm, flat surface.
3. Assess: Responsiveness, breathing; call EMS if compromised.
4. Log Roll: One hand far shoulder, one near hip; roll as unit onto side.
5. C-Spine Immobilization: Neutral head alignment (ears/shoulders/hips); apply cervical collar.
6. Spinal Support: Small pad under head; manual stabilization (hands on both sides of head).
7. Coordinated Lift: Rescuers at head, shoulders, hips, legs; lift on count of three onto backboard/stretcher.
8. Secure: Strap torso, pelvis, legs; head immobilized to board.
9. Maintain Support: Continuous manual head/neck stabilization throughout.
10. Transport: To nearest appropriate facility; monitor vitals en route.

Only perform if trained and EMS is delayed. Otherwise, wait for professionals.