Managing the victim’s airway takes priority over suspected spinal injuries.
- When in the aquatic environment – this is achieved by using the extended-arm roll over technique.
- When on land – it is acceptable to gently move the head into a neutral position if the airway is blocked. In victims needing airway management, jaw thrust and chin lift should be used to minimise neck movement.
Lifesavers qualified in advanced resuscitation may administer oxygen.