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
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Related Studies
| Concepts | Therapeutic or Preventive Procedure (T061) |
| SnomedCT | 398213004 |
| English | log roll, roll log, log rolling, Log roll (procedure), Log roll |
| Spanish | dar vuelta al paciente (procedimiento), dar vuelta al paciente, hacer rodar al paciente |
