Under what conditions is the recovery position appropriate?

• A. The casualty is unconscious but breathing and there is no suspected spinal injury
• B. The casualty is conscious and breathing normally
• C. The casualty is unconscious and not breathing
• D. The casualty is bleeding heavily

Answer: (A)

Use the recovery position when the casualty is unconscious but breathing and there is no suspected spinal injury. This position keeps the airway open by letting the head tilt slightly to prevent the tongue from blocking the airway, and by placing the person on their side the mouth can drain fluids or vomit rather than pooling in the airway. It also reduces the risk of choking if they become less responsive. It isn’t appropriate if the casualty is conscious and breathing normally, since they should remain in a comfortable position and only be moved into the recovery position if they lose consciousness. It isn’t a remedy for heavy bleeding or for suspected spinal injury—control bleeding as needed and keep the person still to protect the spine until help arrives. If the person isn’t breathing, CPR is required rather than placing them in the recovery position.