Skill
Individual procedures and skills used in SkillGuides and scenarios

Attach the regulator/flow meter to the valve stem using the two pin-indexing holes and make sure that the washer is in place over the larger hole, do not overtighten.

Continue until the flange rests against the skin. If you feel any resistance or obstruction, remove the airway and insert it into the other nostril.

Crosses torso straps over the patient’s shoulders and secures to board; pads behind the patient’s head, filling voids; secures the patient’s head to the board using two cravats (forehead and chin).

Determines scene is safe

Gently moves the patient’s head so that the eyes are looking forward; the patient’s nose and chin are aligned with the sternum.

Using Dominant hand, grasp exterial or the opposite glove at the wrist, ensuring that you do not contaminate you skin.

If bleeding continues, remove dressing and apply a hemostatic bandage. (if authorized)

If bleeding continues despite direct pressure and hemostatic bandage, verbalizes application of a tourniquet and mark forehead.

Introduces self, obtains permission to help/treat.

Lowers the patient into a supine position on the long board, securing the patient and the short board to the long board in the usual fashion.

Manually stabilizes the head/cervical spine, kneeling next to the patient; establishes in-line stabilization.

Moves the patient to a long board by placing the long board next to the patient’s buttocks; lifts the patient onto the long board, maintaining C-spine stabilization.

Places board behind the patient’s back, aligning the top of the device with the top of the patient’s head.

Rescuer #1 directs the roll, ensuring that all rescuers are ready to roll the patient toward them as a unit.

Rescuer #2 assesses CMS, kneels beside the patient’s shoulder/upper chest, and grasps the patient’s shoulder/hip.

Rescuer #2 ensures that the patient is centered on the backboard; if needed, the patient is recentered on the board using axial movements.

Rescuer #2 removes the chin strap and places one hand at the patient’s occiput (base of helmet) and the other at the patient’s chin to ensure head/C-spine immobilization.

Rescuer #2 slides backboard into position, tilting the backboard, and then palpates the patient’s spine for any injuries.

Rescuer #3 positions backboard beside the patient and kneels at the patient’s hips; grasps the patient’s hips, overlapping hands with Rescuer #2 and above the knee.

Rescuer #4 kneels beside the patient’s knee/lower leg; grasps the patient’s upper thigh, overlapping with Rescuer #3.

Rescuers #2 and #3 stand next to the patient, one on either side; Rescuer #2 stands on the right side of the patient, places one hand on the patient’s elbow and the other under the patient’s armpit and grasps the backboard slot above the patient’s shoulder. Rescuer #3 does the same on the other side of the patient.

Using an oxygen wrench or valve stem on the top of the cylinder, turn the valve counterclockwise to slowly "crack" the cylinder for 1 second.