Immediate action on a boat
Unconsciousness and the recovery position
A side-lying position keeps an open airway when someone is breathing and does not need CPR. A narrow berth changes the space, not the purpose.
If an adult or child has a reduced level of response and does not need CPR, place them on their side in the recovery position so the airway stays open and fluid can drain from the mouth.
Source: Resuscitation Council UK, First Aid Guidelines (2025)
Do not roll someone into the recovery position if they have agonal gasping that means they need CPR, or if they have been injured in a way that suggests trauma. Trauma includes a fall, a crush, or a blow such as from the boom.
Source: Resuscitation Council UK, First Aid Guidelines (2025)
On a narrow berth or cockpit seat, you still want them on their side with the mouth as the low point. Do not leave an unconscious breathing person on their back, because vomit can then block the airway. Stay with them and keep checking breathing.
Source: NHS inform, First aid
Opening the airway comes before holding the neck still. If you must open the airway of someone who may have a neck injury, a jaw thrust is the method described for keeping the neck in a neutral line. Do not force an awake person into a position they will fight.
Source: Resuscitation Council UK, First Aid Guidelines (2025)
Get certified
A certificate used for commercial work or offshore racing comes from hands-on training with a recognised provider, for example an RYA First Aid course or STCW Elementary First Aid. This online course does not award that certificate, and it does not name or recommend a training centre.
Check your understanding
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1. Someone is unconscious, breathing normally, and has no sign of injury. What position does current UK first aid guidance use?
2. When should you not move someone into the recovery position?
3. Why is lying unconscious on the back a problem in a berth?
4. Someone may have a neck injury and is not breathing normally. What takes priority?