Log Roll transfer from Spinal Board

Hi,

I am in the process of putting together a guideline/protocol for transfering patients from a spinal board onto a trolley.

My sticking point is whether the body straps are undone before the head is out of the blocks and manually stabilized, or whether the C-Spine is cleared and the head manually stabilized before the body straps are removed.

I have done the TNCC where we transferred a pt onto the board but not off the board. Emphasis was placed on securing the body straps before the head blocks went on, so the point of axis is not the C-Spine if the pt vomits/aspirates/slides/has a siezure etc. It makes sense to me that transferring off the board is the reverse of this but I am getting a lot of resistance from my colleagues and can not find much evidence apart from there is no standardised method, and much of the research focussed on length of time spent on the board.

It also raises the question of whether the pt then has body straps when on the trolley with head in blocks pre-X-Ray?

Any help or thoughts much appreciated.

Billy