Spinal board belting-in: Key points
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P  = Patient
TL = Team Leader
C1 = Crew Member #1
T  = Treater (whichever one it happens to be)

Helmet
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- [By now, visor will have been lifted during AVPU assessment.]

- CAUTION: Ensure P's hair does not get caught in anything (helmet, brace, nametag hook-and-loop mount on T's uniform…)

- C1 supports back of neck from inferiorly
    Fingers are on either side of vertebrae
    Instruct P not to move head (not even laterally)
      "Don't help us; we'll do everything."
      [P to relax all muscles, both agonists and antagonists.]
- TL gently swings helmet sagitally, progressing superiorly
- Continue until inferior end of helmet is at about nose level

- C1 prepares to support dorsal cranium against gravity once helmet is fully removed
- TL pulls helmet straightly superiorly
- TL installs posterior neck brace
- C1 lowers head to ground
- TL takes over neck and head support
    Keep denying lateral head movement
- C1 fastens anterior neck brace

- [Continue with jaw thrust, airway, etc., as needed]

- [Interim goal: get head-vise in place to unimmobilize TL]

Pre-onboarding
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- Figure-8 affix feet to each other
    [One loop around both shins; other loop around both feet]
    [Standard key points for affixings:
       location of knot on patient;
       rule out accidental tourniquet by checking distal pulse;
       stow excess rope away]
- Determine if there's a preference to one side over the other
    [e.g., pregnancy, fractures]

Onboarding
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- Get board parked adjacent and parallel to P
- Align board longitudally so P's head is abeam head-vise
- Run belts through eyelets contralateral to P

- Assign roles: 2× lifter, 1× board pusher, 1× back scanner
- Lifters grab patient; hands to alternate
- 321 lift / { scan back& push board& } / 321 lower

- C1 installs head-vise [frees TL]
- TL installs forehead,chin straps

- Fasten belts:
  + thoracic:
      longitudally: immediately under axillae (abeam claviculae)
      laterally: between torso and arms, then back outside arms
      depthly: *fasten on T's fist* to let lungs perform breathing
  + pelvic
  + feet
      figure-8

- If unconscious, tie fists together

- Lift onto ambulance bed