FAQ Level 3 Award for First Responders on Scene: Emergency First Responder (RQF) FROS® - Online Blended Part 1

219 videos, 11 hours and 53 minutes

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Vertical C-Spine Immobilisation

Video 157 of 219
1 min 48 sec
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Vertical C-Spine Immobilization for Standing Patients


In this demonstration, we'll discuss the procedure for vertically immobilizing the cervical spine of a standing patient who may have potential neck or back injuries. This method is crucial for minimizing movement and flexation in the neck, thereby reducing the risk of spinal damage.

Procedure Overview

Vertical c-spine immobilization requires a two-person approach:

  • First Responder: Approaches from the side to stabilize the patient's sternum and spine.
  • Second Responder: Assists from behind to support the head and ensure immobilization.

Step-by-Step Process

  1. Initial Approach: Stand beside the patient and place the forearm along the flat channel of the sternum, while the other forearm supports the spine. Use fingers to stabilize the cheeks and base of the skull.
  2. Alignment Adjustment: Ensure the patient's head is in neutral alignment, avoiding tipping or forward flexation. Secure the cheeks and base of the skull firmly.
  3. Second Responder's Assistance: The second responder approaches from behind, locking elbows on the shoulders and supporting the side of the head to create an A-frame.
  4. Collar Application: With the immobilization secured, proceed to measure and fit the cervical collar while the patient remains in a standing position.


Vertical c-spine immobilization is a vital technique for maintaining spinal stability in standing patients with potential neck or back injuries. By following this procedure with precision and coordination, healthcare providers can effectively minimize the risk of further damage and ensure patient safety.