4.2 Application (3)
Proper application of any extrication collar requires two individuals. The first rescuer should maintain
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stabilization and neutral alignment of the head and neck.
The second rescuer should slide the front of the collar along the patient's chest and position the chin
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piece. The collar body should rest on the top of the patient's shoulder and against the sternum without
gaps. The patient's chin must rest securely in the chin piece in neutral alignment position.
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While holding the front of the collar in place, wrap the back of the collar around the back of the patient's
head and neck and secure to the front of the collar with the Velcro® tab.
Adjust the Velcro tab as necessary by holding the front cutout of the collar and tightening the Velcro tab.
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4.3 Supine Application (4)
If the patient is supine, slide the back portion of the collar directly behind the patient's neck.
The collar may be applied from either side. Once the back portion of the collar is evenly positioned behind
the head, the front portion of the collar can be positioned under the chin. While maintaining the proper
positioning of the collar with one hand, attach the Velcro with the other hand. Ensure that the loop Velcro tab
is firmly attached and parallel to the fixed hook Velcro tab on the front of the collar.
Warnings
Maintain neutral head and neck alignment during the entire procedure. Once the collar is properly
applied and the patient is immobilized, the head should not be released. Further immobilize the head
and neck with head blocks or a head immobilizer and secure the patient to the backboard with
appropriate retention straps.
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