Rescuer #1 kneels above patient’s head and takes/maintains spinal stabilization.
Rescuers #2, #3, and #4 kneel along one side of the patient.
Rescuer #2 assesses CMS, kneels beside the patient’s shoulder/upper chest, and grasps the patient’s shoulder/hip.
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.
Rescuer #1 directs the roll, ensuring that all rescuers are ready to roll the patient toward them as a unit.
Rescuer #2 slides backboard into position, tilting the backboard, and then palpates the patient’s spine for any injuries.
Rescuer #1 directs other rescuers in lowering the patient onto the backboard as a unit.
Rescuer #2 ensures that the patient is centered on the backboard; if needed, the patient is recentered on the board using axial movements.
Secures the patient on the backboard in the usual method.