The document describes H.A.IN.E.S., a recovery position meant to keep incapacitated people safe until help arrives. H.A.IN.E.S. stands for High Arm in Endangered Spine and keeps the breathing passages open and spine in proper alignment. The position should be used for unconscious, shocked, or unattended people. Simply leaving someone on their back is dangerous as they could choke on vomit or saliva. Detailed instructions are provided on properly placing someone's arms, legs, and head into the H.A.IN.E.S. position. Once in the position, vital signs should be monitored until emergency assistance arrives.

1. Keeping incapacitated people safe.

2. What is H.A.IN.E.S.?
 Stands for High Arm in Endangered Spine.
 Meant to keep people stable until help arrives.
 Breathing passages remain open.
 Spine is in proper alignment.

3. Who should be put in H.A.IN.E.S.?
 People who are unconscious (ie: intoxication,
serious falls, fainting, diabetic episodes, seizures,
asthma attacks, etc.)
 People suffering from shock.
 People that must be left unattended to call for
help.

4. Is it really necessary? Just leave
them on their back!
 NO! Do not just leave them on their back!
 Leaving the person on their back could be dangerous.
 If they are unconscious they don’t swallow naturally
and may choke to death on their saliva or vomit.

5. Getting into H.A.IN.E.S.
 Kneel beside the person’s waist (hips). Raise the
person’s farthest arm away from you by rotating it
outwards, while keeping the palm facing upwards.

6. Getting into H.A.IN.E.S.
 Place the arm nearest to you across the person’s chest,
with fingers pointing to the opposite shoulder.

7. Getting into H.A.IN.E.S.
 Bend the person’s nearest leg at the knee.

8. Getting into H.A.IN.E.S.
 Carefully place your forearm-the one that is nearest to
the person’s head and neck-under the person’s
shoulder to provide extra leverage. Place the hand of
that arm under the hollow of the person’s neck and
head to stabilize the person. DO NOT push or lift the
person’s head or neck.

9. Getting into H.A.IN.E.S.
 Carefully roll the person away from you by pushing
simultaneously on the person’s nearest shoulder with
your stabilizing forearm on the person’s flexed knee
with your other hand.

10. Getting into H.A.IN.E.S.
 Pull the person’s top leg closer to the chest.

11. Getting into H.A.IN.E.S.
 Place the person’s upper hand on the outstretched arm
against the forehead.

12. Getting into H.A.IN.E.S.
 Check the person’s airway and, if required, clear the
airway with the face turned slightly downwards to
permit drainage from the mouth.

13. Once that is all done…
 Treat the person for shock, ensure the ABC’s are
present and monitor the quality of the person’s vital
signs (heart beat, pulse, etc.).

14. Practice time!!!
 Pick a partner and practice putting each other
into the H.A.IN.E.S. Recover Position.
 Remember, there are real reasons why it is good to
know how to apply this position(think about what
happens at parties…;)).