A few key points in regards to my interpretation of the above guidelines and what I pass on in training. 4.0 Situation dependent, room you have to work with, equipment you have on hand and how many people you can get around the person. Applying an Extrication Jacket or half rigid board device can assist in removing the patient quicker and with less movement. Spine board slide is always preferred, if you can get it into position. 4.1 Always use soft collars, even if applying an Extrication Jacket. When transporting patients you can see greater comfort levels. 4.2 Always transfer patient onto the ambulance stretcher. Never leave on spine board or in immobilisation jacket for transport. Depending on the distance I have to go between the extrication and the ambulance I use the old technique of towel rolls, to assist with head movement while in a soft collar. Also spider straps and figure 8 bandage around the ankles. If we are putting them on a spine board for extraction, to prevent movement and jiggly twisting. Let us do that, without causing the harsh traction of a semi ridgid collar or body flailing about. For rope rescue you can't go past the Safe right body splint, bridal is built in and is comfortable for the patient. saferight.com.au/.... Vacuum mattress here is the gold medal and can transport in it. 4.3 Log roll performed by a "Trained Team". Training is the key here, with all the points in spinal immobilisation. If you don't use it you loose it. Practice, critique and observe. Practice all the techniques. Especially in underground or open pit mining, things are not always straightforward or you may have some distance to manual handle a patient. Use what you have and use it well. The above is just my opinion based on my experience and welcome any others that would like to share theirs.