A spinal board, is a patient handling device used primarily in pre-hospital trauma care. It is designed to provide rigid support during movement of a person with suspected spinal or limb injuries. They are most commonly used by ambulance staff, as well as lifeguards and ski patrollers.
What patients would need to use a spine board?
An individual should be placed on a spine board if he/she suffers an injury and has a combination of any of the following: complaints of pain in the area of the spine; numbness and/or tingling in their fingers, toes, arms, or legs; or loss or decreased ability to move their fingers, toes, arms, or legs.
Is a spine board good?
There is no evidence that the long spine board is safe. There is evidence that the long spine board may increase the rate of disability – exactly the opposite of what we want to do. This study showed that the patients with spinal injuries were twice as likely to become disabled with the use of the long spine board.
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.
When applying a short spine board what part of the body do you need to secure first?
Secure the patient’s torso and legs to the short backboard. Have the patient inhale deeply and hold their breath as you tighten the torso straps. This will assure that the straps are not too tight to where they will impede the patient’s respirations. Secure the patient’s head after the torso and legs are secured.
When Is spinal immobilization used?
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 are long spine boards used for?
Long backboards are commonly used to attempt to provide rigid spinal immobilization among EMS trauma patients. However, the benefit of long backboards is largely unproven. The long backboard can induce pain, patient agitation, and respiratory compromise.
Does spinal immobilization help patients?
Rigid spinal immobilization is not without risk to the patient. It has been shown to decrease forced vital capacity in both the adult and pediatric populations,2 compromise vascular function and increase risk of pressure ulcers,3-4 and can confound emergency department assessment of traumatic injuries by causing pain.
What are the indications for rapid extrication?
Rapid extrication is indicated when the scene is unsafe, a patient is unstable, or a critical patient is blocked by another less critical patient.
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 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.
How do you transport a patient with a spinal injury?
Land (ambulance) and air (helicopter or fixed-wing plane) are the primary modes available to transport the spinal injury patient. The goal is to expedite safe and effective transportation without an unfavorable impact on patient outcome.