Upper-Airway Management

Table of Contents
Why Airway Comes FirstOpening the AirwayRecovery PositionSuspected Spinal Injury

Why Airway Comes First

A blocked airway can become fatal quickly. If airway care conflicts with concern for the spine, manage the airway first and minimise movement as much as possible.

Opening the Airway

Casualty Position
Adult Head tilt-chin lift
Child Gentle head tilt-chin lift
Infant Neutral head position

Look in the mouth only if needed. Remove loose, visible material carefully with your fingers. Do not sweep blindly.

Recovery Position

Place an unconscious casualty who is breathing normally into the recovery position, unless movement would create greater danger. Keep the airway open and monitor breathing.

Suspected Spinal Injury

Support the head and neck and avoid unnecessary movement, but do not delay airway opening, rescue breathing or CPR when they are needed.

Last updated: 11/07/2026