II. Indications
- Possible Cervical Spine Injury or Thoracolumbar Injury AND
- Removal of Spine Board and back examination (Trauma Secondary Survey)
III. Precautions
- Safe spine precautions require 4 people for adult Log Roll
IV. Technique
- Assumes patient starting supine
- Staff positioning on side toward Log Roll
- Person 1 at head controls head and Cervical Spine
- Person 2 at torso controls body
- Person 3 at knees controls lower extremities
- Staff positioning on side away from Log Roll
- Person 4 (examiner) ready to remove Spine Board and examine back
- Procedure
- Person 1 (at head) leads the Log Roll
- On their count to 3, the team rolls the patient away from the examiner (person 4)
- Person 4 (examiner)
- Removes Spine Board
- Examines the back
- Person 1 (at head) leads the Log Roll back to supine position
- Person 1 (at head) leads the Log Roll
V. References
- (2012) ATLS manual, 19th ed, p. 190