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Treat all dive and big-wave head impacts as spinal injury until proven otherwise.
Support head and neck. Call 112. CPR if not breathing. Do not move spine.
Step 1: Get person out of water supporting head and neck if dive injury suspected
Step 2: Call 112 for head/neck injury or unconsciousness
Step 3: Check breathing — CPR if needed on stable surface
Step 4: Stop spinal movement — keep head aligned with body
Step 5: Apply pressure to bleeding wounds
DEVELOPMENT FIXTURE — Do NOT sit the person up or bend neck to check breathing.
DEVELOPMENT FIXTURE — Do NOT dive into shallow water — "feet first, first time" in unknown depth.
DEVELOPMENT FIXTURE — Do NOT assume pain will pass — spinal injury symptoms can worsen with movement.