Cervical spine injuries are the most common spinal injuries in blunt trauma patients (MVA, fall from height, sports related injury, or assault) (Brimacombe et al., 2000). Treating these patients as if they had a cervical spine injury until proven otherwise is recommended. In contrast, patients with penetrating trauma without blunt trauma who are neuro-intact rarely have an unstable spine (Brimacombe et al., 2000; Donaldson, Heil, Donaldson, & Silvaggio, 1997). First responders therefore place patients with suspected cervical spine injuries on backboards or in cervical collars. Prolonged time using immobilization devices (backboard or cervical collar) can result in the development of a pressure ulcer. Therefore, temporary removal of immobilization devices (anterior portion of the cervical collar) while maintaining manual inline stabilization during intubation and airway management is recommended (Walls & Murphy, 2008).