Setup and Scene Safety
The instructor positions the spineboard in line with the patient and places a blanket at the lower back area with equipment positioned at the head for accessibility. Scene safety is established and standard precautions are implemented before patient contact.
In-Line Stabilization and Initial Assessment
A partner maintains cervical spine stabilization by placing hands beneath the patient's head with thumbs up, keeping the nose aligned with the torso. The instructor performs a rapid primary assessment including grip strength, motor function, and sensory testing in all four extremities.
Neurovascular Assessment
Bilateral pulses are checked in the upper extremities at the wrist and in the lower extremities at the posterior tibial artery. Sensory function is confirmed by having the patient identify which fingers and toes are being touched, establishing baseline neurovascular integrity.
Cervical Collar Sizing and Application
The cervical collar is sized by measuring from the trapezius to the line of the chin with approximately one finger width of space. The collar is slid underneath the patient while maintaining head stabilization, and the patient is confirmed able to breathe and swallow.
Log-Roll Technique
Three personnel position themselves at the shoulder/elbow, waist, and knee to execute a coordinated log-roll. The spineboard is lifted at a 45-degree angle and slid flush against the patient's back as she is rolled toward the team, with a blanket tucked underneath for padding.
Patient Positioning on Board
The patient is slid up the board until the tops of the ears align with the bottom edge of the headrest area. The heels are floated to prevent catching while maintaining cervical alignment throughout the positioning process.
Torso and Pelvic Strapping
Straps are applied across the chest and abdomen with tension sufficient to secure the patient without restricting breathing. A blanket is placed between the legs to pad voids, and the pelvic strap is positioned over the pelvic bones with the legs brought together slightly.
Head Immobilization and Taping
Foam head blocks are positioned at ear level with a strap placed across the forehead to protect the eyebrows from tape. Two pieces of tape are applied across the forehead and under the chin to secure the head to the board as a positional reminder rather than a restraint.
Final Assessment and Arm Securing
Neurovascular status is rechecked in all extremities with pulses, motor function, and sensory testing repeated. The patient's arms are crossed and secured to prevent movement during transport while maintaining comfort and continued assessment capability.
Spinal Immobilization: Supine Patient
Key Takeaways
- •Setup and Scene Safety
- •In-Line Stabilization and Initial Assessment
- •Neurovascular Assessment
- •Cervical Collar Sizing and Application
Demonstration of the Spinal Immobilization for the Supine Patient Skill. This is a testable skill for the San Diego County/NREMT Psychomotor exam.
Related Techniques
Frequently Asked Questions
What does this video teach about supine rear mount?
This video covers setup and scene safety, in-line stabilization and initial assessment, neurovascular assessment. It provides detailed instruction from San Diego Miramar EMT Program.
How long does it take to learn supine rear mount?
The basic mechanics can be understood in a single session, but developing reliable execution requires consistent drilling over weeks of practice. This 9-part breakdown helps structure your training by isolating each phase of the technique.
What are the key details for finishing supine rear mount?
Foam head blocks are positioned at ear level with a strap placed across the forehead to protect the eyebrows from tape. Two pieces of tape are applied across the forehead and under the chin to secure the head to the board as a positional reminder rather than a restraint.
