Fig. 3

In-water spinal trauma flowchart—prehospital guidelines for trained lifeguards and prehospital EMS. The flowchart was constructed and adjusted according to the recommendations. The flowchart received strong consensus (93%) in Delphi round 3. Each of the four routes in the flowchart received strong consensus: Route 1 to the left (90%), route 2 in the middle left (95%), route 3 in the middle right (95%), and route 4 to the right (90%). Footnotes are provided and should be used together with the flowchart