Assess airway stability for all patients.
Secure the endotracheal tube (ETT). Ensure the tapes are firm and intact. If there is a suspected head injury the tapes should not occlude venous drainage, preventing increases in intracranial pressure (tapes may need to be tied above the ears and secured with tape).
Record the length and diameter. Ensure a chest x-ray has been performed at the current ETT length.
Insert the orogastric tube. Ensure it is not secured to the ETT (so is independently secure) and aspirate prior to transport.
It is preferable to replace hard (extrication) cervical collars with a Philadelphia collar to minimise the risk of a pressure injury. A cervical collar must remain in situ during transfer to a MTS, regardless of spinal clearance.