(2) Patient who requires (or may require) a firm surface for the performance
of CPR; for example, a patient who is both pulseless and potentially unstable.
b. Procedure. Procedure for securing a patient on a long spine board varies
according to the position of the patient. The patient may be in a supine position, a
recumbent position, or a sitting position. Follow this procedure for patients in the supine
position at ground level:
Position the spine board parallel to the patient.
Rescuers position themselves along the side of the patient, opposite the
(a) If there are four rescuers available, rescuer #1 supports the
patient's head. Rescuer #2 supports the patient's shoulders. Rescuer #3 supports the
patient's pelvis, and rescuer #4 supports the patient's legs.
(b) If there are three rescuers, rescuer #1 supports the patient's head.
Rescuer #2 supports the patient's shoulders. Rescuer #3 supports the patient's legs.
Logroll the patient onto the spine board in this manner:
(a) Rescuers alongside the patient gently roll him toward them onto his
side. Rescuer #1 supports the patient's head during the move. Rescuers roll the
patient's body as a unit.
(b) One of the rescuers alongside the patient pulls the spine board into
position against the patient.
(c) Again, rolling the patient's body as a unit, the rescuers roll the
patient onto the spine board. Rescuer #1 still supports the patient's head as part of the
body unit during the move.
Pad the patient's head.
(5) Secure the patient's trunk and lower extremities with three straps
positioned at the patient's chest, pelvis, and the knees.
Immobilize the patient's head with a forehead strap.
5-25. SCOOP STRETCHER
A scoop stretcher is a metal stretcher which disassembles into a right and left
half. These halves are assembled around the patient. The advantage is that this piece
of equipment allows for spinal immobilization with minimal patient movement.