SMR Protocol - AEMS RED Book

On December 18, 2013, the AEMS Board of Governors approved the Spinal Motion Restriction (SMR) protocol as an addition to the AEMS RED Book - Chapter 3, Part I / Standing Orders for Paramedics. Click Here for SMR protocol contained in RED Book.


Supporting Literature

EMS Management of Patients with Potential Spinal Injury - Position Statement of the American College of Emergency Physicians - Approved by ACEP Board January 2015 - saved in PDF format

Position Statement – EMS Spinal Precautions and Use of the Long Backboard – National Association of EMS Physicians and American College of Surgeons Committee on Trauma- saved in PDF format


SMR Instruction Presentation

Note: The Powerpoint file below is large so it may take time to load so please be patient.

SMR Powerpoint Presentation - saved in Powerpoint format

Note: The PDF file below is large so it may take time to load so please be patient.

SMR Powerpoint Presentation - saved in PDF format


IMPORTANT NOTE: This presentation was developed by Franco Castro-Marin, MD. In the PDF version of the file above it contains notes that are not readily visible in the PDF format. To view these notes, in your Adobe Acrobat Reader, you must go to View, and then click on Annotations - the notes will then appear in a sidebar.


SMR Instruction Video

A SMR informational video was recently coordinated by the Mesa Fire and Medical Department with assistance from Franco Castro-Marin, MD This video includes an introduction and four SMR case scenarios.

Click on the links below to watch this video:


SMR Video

SMR Introduction

SMR Scenario 1

SMR Scenario 2

SMR Scenario 3

SMR Scenario 4


SMR Training

A training that provides educaiton on the newest SMR procedures/techniques, background, and implementation is in the process of being planned. Check back for dates and locations.