Patients for whom spinal motion restriction should be considered include those who have sustained blunt trauma through a high-energy mechanism and any of the following: Altered level of consciousness. Drug or alcohol intoxication. Inability to communicate.
When should you use spinal immobilization?
Patients who should have spinal immobilization include the following:
- Blunt trauma.
- Spinal tenderness or pain.
- Patients with an altered level of consciousness.
- Neurological deficits.
- Obvious anatomic deformity of the spine.
- High energy trauma in a patient intoxicated from drugs, alcohol, or a distracting injury.
What is spinal immobilization and why is it used?
Background: Spinal immobilisation involves the use of a number of devices and strategies to stabilise the spinal column after injury and thus prevent spinal cord damage. The practice is widely recommended and widely used in trauma patients with suspected spinal cord injury in the pre-hospital setting.
When should you backboard a patient?
Appropriate patients to be immobilized with a backboard may include those with: o Blunt trauma and altered level of consciousness; o Spinal pain or tenderness; o Neurologic complaint (e.g., numbness or motor weakness) o Anatomic deformity of the spine; o High energy mechanism of injury and: ▪ Drug or alcohol …
What circumstances would keep you from performing spinal motion restriction?
Distracting circumstances or injury (e.g., long bone fracture, degloving, or crush injuries, large burns, emotional distress, communication barrier, etc.) or any similar injury that impairs the patient’s ability to contribute to a reliable examination.
Which portions of the spine are the most vulnerable to injury?
The majority of fractures and dislocations of the spinal column occur in the cervical spine because it is the most mobile portion of the spinal column, and understandably, the most vulnerable to injury.
What is a concern while caring for the patient who is completely immobilized to a long backboard?
Because the backboard is a rigid appliance that does not conform to a patient’s body, patients develop pressure sores as a result of being immobilized on the backboard. In 1987, Linares et al.
Which of the following is the most common mechanism for spinal trauma?
Among patients below 2 years with spinal trauma, NAT was tied as the most common mechanism, resulting in 38% of injuries. Eight of the 11 patients’ spine injuries were cervical and 7 of these injuries were in the atlanto-occipital and atlantoaxial regions. Multilevel spine trauma was present in 64% of patients.
Which portion of the spine is the most delicate and easily injured?
The lumbar spine contains 5 vertebral bones that form a lordotic curve (same as the cervical spine) and run through the lower back. The lumbar spine is more mobile than the thoracic spine yet also carries more weight, making it the most likely region of the spine to become injured and painful.
How would you deal with a combative person while also trying to maintain spinal immobilization?
Avoid arguing with the patient. Simply keep repeating the three magic cues, and carry on with patient care. If head-banging ensues, provide padding around the patient’s head. A blanket or “head bed” will eventually be needed for spinal immobilization anyway.