b'ChapterHow to ManageConscious PatientIdeally, only first aid providers or health care professionals trained in the management of spinal injuries, aided by specific equipment, should move the patient.Keep the patient calm and still as possible.Do not move the patient unless absolutelynecessary (e.g. danger). Ideally, only rescuers trained in the management of spinal injuriesshould move the patient. If movement is necessary, extreme care must be taken to minimise movement of the head/neck/spine in any direction and the painful area must be fully supported.Call Ambulance 000.Gently loosen any tight clothing around the neck, chest and waist to reduce constrictionand help breathing.Kneel behind the patients head. Support thehead and neck in the neutral position ensuring the head, neck and spine are aligned (your hands are firmly placed along the sides of the head and ears).Hold this position while a helper places a rolled-up blanket, towels, clothing or rigid objectseither side of the head and neck. Maintain the head and neck support position until Ambulance arrives.Rest, reassure and keep the patient warm.Closely monitor patient for response, airway, normal breathing while waiting for Ambulance. Young ChildrenChildren under eight years of age may require padding under their shoulders (approximately 2.5 cm) for neutral spinal alignment. In the event of a road traffic accident a conscious infant / child should be left in their rigid seat or capsule until assessed by ambulance personnel. If possible, remove the seat or capsule from the car with the infant / child in it.96 Head, Neck and Spinal Injury'