The main goal is to keep the person immobile and safe until medical help arrives.

1. You or someone else should call 911.
2. Hold the person's head and neck in the position in which they were found. DO NOT attempt to reposition the neck. Do not allow the neck to bend or twist.
3. Do not allow the person to get up and walk unassisted.

IF THE PERSON IS UNRESPONSIVE

1. Check the person's breathing and circulation. If necessary, begin rescue breathing and CPR.
2. DO NOT tilt the head back when attempting to open the airway. Instead, place your fingers on the jaw on each side of the head. Lift the jaw forward.

IF YOU NEED TO ROLL THE PERSON

Do not roll the person over unless the person is vomiting or choking on blood, or you need to check for breathing.

1. Two people are needed.
2. One person should be located at the person's head; the other at the person's side.
3. Keep the person's head, neck, and back in line with each other while you roll him or her onto one side.

• DO NOT bend, twist, or lift the person's head or body.
• DO NOT attempt to move the person before medical help arrives unless it is absolutely necessary.
• DO NOT remove a helmet if a spinal injury is suspected.

Call you local emergency number (such as 911) if there has been any injury that affects the neck or spinal cord. Keep the person absolutely still. Unless there is urgent danger, keep the person in the position where found.