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You should always take spinal precautions for dive injuries.

Several people may be needed to keep the person floating on the surface, with one person at the head to maintain cervical spine position.

If a long spine board is available, it should be put in the water and moved underneath the patient. If there is not a long spine board available, leave the patient in the water until emergency crews can get there, unless there is a problem with the airway, breathing, or circulation (cardiopulmonary arrest).

The long spine board should float and hold the patient above the water. If it is not floating, there may be a hole in it from rough handling, so a different board should be used. Secure the patient to the board and get a cervical collar on before extricating from the water.

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Q: What method do you use to move a person you suspect has a spinal injury that is face up in the water?
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