Figure 2-7. Applying manual traction to a casualty's head (casualty sitting up).
(3) Apply and maintain manual traction until the casualty has been secured
to the spine board. The casualty should be in an "eyes forward" position.
b. Apply Cervical Collar. If a cervical collar is available, have the assistant
apply the collar to the casualty's neck. If a cervical collar is not available, have the
assistant improvise a collar from a SAM splint or from material such as a folded towel,
T-shirt, or field jacket. Apply an improvised material collar following the procedures
given in paragraph 2-5b.
c. Position Short Spine Board. Have the assistant position the short spine
board in the manner described below. If a short spine board is not available,
improvise using a plank and cravats or other nearby materials.
(1) Position the spine board next to the casualty with the head (narrow) end
of the board up.
(2) Slip the spine board between the casualty's back and the seat of the
vehicle by pushing the board as far into the seat behind the casualty as possible.
Tilt the upper end of the board toward the head.
d. Secure Casualty's Head to Short Spine Board.
(1) Position the back of the casualty's head against the spine board. Make
sure you move the head and neck as a unit. The casualty will be in an upright position.