H.A.IN.E.S Position

The modified H.A.IN.E.S. Recovery Position (H.A.IN.E.S. is an acronym for High Arm IN Endangered Spine), offers an even better alternative for airway and spinal protection for the ‘Unconscious, Suspected Spinal Injured’ casualty. This *clinically researched position not only protects the casualty’s airway, but also significantly reduces the amount of side-ways movement (lateral flexion) of the head and neck.

International Recognition for H.A.IN.E.S. Recovery Position

This position, which was conceived and further developed by our Managing Director, John Haines in 1989 has been clinically proven to reduce lateral cervical flexion (sideways movement of the head and neck) by comparison to the more commonly known Lateral Recovery Position, which was used as the benchmark for comparisons during the two studies.


The American Heart Association (AHA), which is the largest resuscitation organisation in the world and the American Red Cross also gave formal recognition to this position back in 2005.

Warning: Once the casualty is placed into the H.A.IN.E.S. Recovery Position, use airway manoeuvres such as ‘Jaw Thrust’ (lifting the jaw ‘forward’ and upward, whilst avoiding pressure on the neck) first, in preference to head tilt in order to further reduce movement to the neck.

* ‘How should an unconscious person with a suspected neck injury be positioned?’ – B. Gunn et. Al ‘Prehospital & Disaster Medicine’ – Vol 10, No: 4 Oct-Dec 1995.

‘The position of the spine in the recovery position – an experimental comparison between the lateral recovery position and the modified HAINES position’ – W. Blake et.al ‘Resuscitation’; Vol 53; Issue 3; June 2002.