Total Spine Immobilization 1. Skill level 1.1. Basic life support (BLS) 2. Physician authorization required prior to performing skill 2.1. No 3. Indications 3.1. Any suspicion of trauma that compromises spine integrity including, but not limited to: 3.1.1. Neck or back pain following a traumatic event; 3.1.2. Alteration in mentation following a traumatic event; 3.1.3. Suspicious mechanism of injury, even in the absence of neck or back pain; 3.1.4. Unclear circumstances surrounding a submersion event (i.e., neardrowning).

1. Contraindications 4.1. None
2. Complications/Precautions 5.1. Care should be taken to effectively pad voids in all patients to ensure immobility and elimination of pressure points.
3. Procedure 6.1. Manually immobilize the cervical spine. 6.2. Assess neurovascular integrity, including purposeful movement, at each extremity. 6.3. Place properly fitted collar on the patient. 6.4. Appropriately move patient to long spine board by way of: 6.4.1. Log rolling patient on to backboard; 6.4.2. Standing take down; or 6.4.3. Seated spinal immobilization device. 6.5. Secure torso. 6.5.1. Place strap diagonally across torso securing it to the board above a shoulder and adjacent to the opposite hip. Place second strap as mirror image. 6.5.2. Place third strap across waist securing it to the board. 6.5.3. Place fourth strap across knees, securing to board 6.6. Pad voids between patient and backboard. 6.7. Secure cervical spine stabilization device on either side of patient’s head to the backboard with adhesive tape. 6.8. Assess neurovascular integrity, including purposeful movement, at each extremity.
4. Equipment 7.1. Backboard (long). 7.2. Four straps for securing torso. 7.3. Cervical collar, rigid. 7.4. Stabilization device to prevent lateral head movement while on the backboard. 7.5. Adhesive tape. 7.6. Backboard (short), alternatively, a Kendrick Extrication Device (KED) may be utilized. 7.7. Sufficient padding for pediatric immobilization. Alternatively, a commercially available pediatric immobilizer may be utilized.
5. EDMCP Contact and Special Considerations Prehospital Standing Orders and Treatment Protocols 8.1. Contact EDMCP for treatment other than s