It is appreciated that the given case study contains other factors such as psychological trauma and the impact of blood loss. However, this essay will explore the effectiveness of pre-hospital immobilization using cervical collars and extrication/orthopedic stretchers, reflecting on a narrative of first aider practice. A modified framework of Gibbs' (1988) reflection cycle will be used. Including description, feelings, evaluation, conclusion and action plan. This essay draws on relevant evidence and seminal work throughout. While working on an ambulance for a large ambulance service, a case came forward involving a 27-year-old man who had been assaulted. When they arrived at the scene, the team was greeted at the entrance of a building by a police officer. The team was informed that the patient was in an apartment on the second floor and that the attackers were no longer there. Upon entering the given address, there was blood in the hallway of the poorly maintained apartment. A primary investigation was conducted to verify the security of the scene for threats to the crew or patient and to identify any immediately life-threatening situations. Fisher JD, Brown SN and Cooke MW (2006) reinforce this point by emphasizing the importance of assessing critical, potentially critical or non-critical features when conducting the primary investigation. The patient was sitting in the kitchen accompanied by a police officer; he informed the crew that he had been attacked with a baseball bat. A secondary investigation was undertaken encompassing the patient's history and a head to toe assessment to identify the extent of the patient's injuries as outlined by I. Greaves, K.Porter, T.Hodgetts. and M. Woodard (2006). He had a 2-inch hematoma to the back of his head and a 1-inch laceration...... middle of paper ...... y WA & Hostler DP (2006). Comparison of the Ferno Scoop Stretcher with the Long Backboard for Spinal Immobilization. Prehospital Emergency Care.10(1):46-51Mobbs RJ, Stoodley MA and Fuller J (2002) Effect of cervical collar on intracranial pressure. The Royal Australasian College of Surgeons.72(6); 389-391National Institute for Clinical excellence (2007) 56- Head trauma (p15). Stiell IG, Clement M, McKnight RD, Brison R, Schull MJ, Rowe BH, Worthington JR et al (2003). The Canadian C-Spine Rule Versus NEXUS Low Risk Criteria in Trauma Patients. The New England Journal of Medicine, 349(26): 2510-2518Stiell IG, Wells GA, Vandemheen KL, Clement CM, Lesluk H, De Maio JD et al (2001) The Canadian column C rule for radiography in cases of trauma alert and stable patients. The Journal of the American Medicine Association, 286(15); 1841 -1848