Spinal motion restriction is defined as attempting to maintain the spine in anatomic alignment and minimizing gross movement irrespective of adjuncts or devices. NREMT’s use of the term, spinal immobilization is defined as the use of adjuncts (i.e cervical collar, long board, etc.)
What is 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.
Why is the term spinal motion restriction SMR preferred over spinal immobilization?
For this reason, the term “spinal motion restriction (SMR)” has gained favor over “spinal immobilization,” although both terms refer to the same concept. The goal of both SMR and spinal immobilization in the trauma patient is to minimize unwanted movement of the potentially injured spine.
What is spinal mobile restriction?
Spinal motion restriction is the use of a cervical collar and cot to maintain neutral alignment of the spine during transport of the patient with concern for spinal injury. The goal is to reduce excessive movement of the spine that may worsen existing spinal trauma and neurologic deficit.
How do you immobilize your spine?
The traditional ATLS teaching for adequate spinal immobilization of a patient in a major trauma situation is a well fitted hard collar with blocks and tape to secure the cervical spine in addition to a backboard to protect the rest of the spine. other devices currently in use are scoop stretcher and vacuum splint.
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 is active spinal motion restriction provided?
How is active spinal motion restriction provided? Manually hold the person’s head to limit movement. … You are providing care to a responsive person who has been injured and is bleeding out of a large wound in the leg.
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.
When should you use spinal motion restriction?
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.
- Spinal column pain and/or tenderness.
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 …
When should a spinal board be removed?
Conclusion—The spinal board should be removed in all patients soon after arrival in accident and emergency departments, ideally after the primary survey and resuscitation phases.