In which order should you immobilize a patient to a long spinal board?
the patient’s body should be secured to the device. Typically, on a long spine board, the torso is secured with straps first, then the abdomen or waist and then the lower body.
When should you immobilize the spine?
The patient must be alert (GCS 15) The patient cannot be intoxicated. The patient cannot have a distracting injury. The patient is not high risk (age >65 y or dangerous mechanism or paresthesias in extremities)
What is full spinal immobilization?
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.
What is the C spine?
About the cervical spine
The cervical spine refers to the seven spinal bones (vertebrae) in the neck. It supports the head and connects to the thoracic spine. Most of the ability to turn the head comes from the top two segments of the cervical spine.
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.
What is the best method for spine boarding a prone patient?
Therefore, we recommend adopting the push technique as the preferred spine-boarding maneuver when a patient is found in the prone position.
What is the goal of spine boarding?
Spinal immobilisation and support
The purpose of immobilisation in suspected spinal trauma is to maintain a neutral position and avoid displacement and secondary neurological injury. This must be initiated at the scene of an accident and continued until unstable spinal injuries are ruled out.
What are the 2 main types of ways to spine board an athlete?
For the supine athlete, the log-roll or lift-and-slide techniques may be used; for a prone athlete, the log-roll technique is the only option. Therefore, all rescuers must be familiar with the log roll.
Why is C spine immobilization important?
The theory behind this is that spine immobilization prevents secondary spinal cord injury during extrication, transport, and evaluation of trauma patients by minimizing movement.
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 selective spinal immobilization?
NREMT’s use of the term, spinal immobilization is defined as the use of adjuncts (i.e cervical collar, long board, etc.) being applied to minimize movement of the spinal column. The benefit of spinal immobilization in most trauma patients is unproven.
What causes neurogenic shock?
The cause of neurogenic shock is usually a spinal cord injury. When the nerves in the spinal cord are damaged, they stop sending messages to the nerves that control other functions in the body. If nerve signals to the muscles in the blood vessels are shut down, the vessels stop working properly.