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Instructions for helping someone else

Possible neck or spinal injury

What to do

  1. Approach only if safe. Immediate danger: summon rescue. Move only as necessary to save life.
  2. Possible neck or back injury: call emergency services.
  3. Ask them to keep their neck still in a comfortable position. Do not force it straight.
  4. Brace your arms and support sides of the head in the position found, ears free. Do not force it straight or make them walk.
  5. If unresponsive, keep the airway open with dispatcher help. Breathing and CPR take priority over keeping the neck still.
  6. If unresponsive: call emergency services. If breathing is abnormal, start CPR with dispatcher guidance.
  7. Monitor response and breathing until responders arrive.
  8. Give location and injury. No phone/signal: ask another person to call safely. Do not wait for a collar or equipment before seeking help.
  9. Only if vomit/blood blocks breathing: with another helper, one supports head/neck while the other rolls the body together, keeping alignment. Tell dispatcher. Recheck breathing immediately.

What to avoid

  1. Do not force a position or improvise a neck collar.
Child/baby: child CPRUnresponsive and abnormal breathing: CPR