Controlled log roll

If you have more rescuers available, a more controlled roll is appropriate for someone who obviously has some respiratory effort but in whom you are not happy that the airway is patent or that the breathing is normal. Hence, you are moving to perform a more detailed DR ABC assessment with some urgency. This roll requires at least three rescuers, ideally four, especially if the casualty is very tall or heavy. It requires clear direction from the lead rescuer.

Controlled log roll

Skill 8

Controlled log roll

  1. Lead rescuer at head with MILS (if face down, cross hands).
  2. Largest rescuer at level of upper back.
  3. Middle rescuer at buttocks.
  4. Smallest rescuer at thighs.
  5. “3 hands over, 3 hands under” technique.
  6. Clear commands from lead rescuer - “Prepare to roll, and roll”.
  7. On the command, roll towards rescuer onto casualty’s back.
  8. Repeat DR ABC assessment and maintain MILS. Consider jaw thrust if casualty appears unconscious.
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