 We lock roll the patient to examine the back and to get them off the spinal board. During the lock roll, the patient is turned as a whole with no spine twisting. Four or more people are needed for the lock roll. One person holds the head and neck. This person coronates the lock roll. Two or more turn the torso. Each person's hand should crisscross with another person's hand. The last person will examine the back. The person holding the head and neck will coordinate by a count of three and everyone will move in sync. Turning the patient 90 degrees to allow for back examination. Once the back examination is completed, the coordinating person counts a three and turns the patient back to a supine position.