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QUARTERLY REFRESHER EXAM DATE: AREA/ PROVINCE:

BACK BOARDING & COLLAR APPLICATION (Place your score 1,2,3 points) Note: Only perform what is needed below. No treatment or assessment required.
Case: Conscious victim is on prone position with pain on left thigh.
C-COLLAR APPLICATION BACKBOARDING
(Individual) (Group performance, max of 4)
No. RESPONDER’S NAME Proper Usage of Security of TOTAL
Correct Collar Manual Proper logroll & Application of Correct height Efficient
sizing of proper body patient &
insertion fits head placement of head immob. and weight communication
neck & mechanics & protection
of collar snugly stabilization backboard & spider strap distribution among rescuers
collar power lift of injuries
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FACILITATOR: _____________________________ **DONT FORGET TO PUT THE TOTAL SCORE!!


(Name over printed name)

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