II. Indications

  1. Possible Cervical Spine Injury or Thoracolumbar Injury AND
  2. Removal of Spine Board and back examination (Trauma Secondary Survey)

III. Precautions

  1. Safe spine precautions require 4 people for adult Log Roll

IV. Technique

  1. Assumes patient starting supine
  2. Staff positioning on side toward Log Roll
    1. Person 1 at head controls head and Cervical Spine
    2. Person 2 at torso controls body
    3. Person 3 at knees controls lower extremities
  3. Staff positioning on side away from Log Roll
    1. Person 4 (examiner) ready to remove Spine Board and examine back
  4. Procedure
    1. Person 1 (at head) leads the Log Roll
      1. On their count to 3, the team rolls the patient away from the examiner (person 4)
    2. Person 4 (examiner)
      1. Removes Spine Board
      2. Examines the back
    3. Person 1 (at head) leads the Log Roll back to supine position

V. References

  1. (2012) ATLS manual, 19th ed, p. 190

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Ontology: Log roll (C1301888)

Concepts Therapeutic or Preventive Procedure (T061)
SnomedCT 398213004
English log roll, roll log, log rolling, Log roll (procedure), Log roll
Spanish dar vuelta al paciente (procedimiento), dar vuelta al paciente, hacer rodar al paciente