How would you give CPR to a casualty with a suspected spinal injury?

If the person shows no signs of circulation (breathing, coughing or movement), begin CPR, but do not tilt the head back to open the airway. Use your fingers to gently grasp the jaw and lift it forward. If the person has no pulse, begin chest compressions. Keep helmet on.

Do you perform CPR on someone with a spinal injury?

CAUTION: If you suspect a person has suffered a spinal injury, do not twist or turn their head or neck. The only exceptions are if you need to: Move them out of danger. Turn them to give CPR.

What additional precautions would you have to take if you suspected a casualty suffered a spinal injury?

Calm the patient and loosen tight clothing. Do not move the patient unless in danger. Support head, neck and spine in a neutral position at all times to prevent twisting or bending movements. If the ambulance is delayed, apply a cervical collar, if trained to do so, to minimise neck movement.

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What is the best method to open a person’s airway If a spinal injury is suspected?

If you think the person may have a spinal injury, place your hands on either side of their head and use your fingertips to gently lift the angle of the jaw forward and upwards, without moving the head, to open the airway. Take care not to move the casualty’s neck.

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.

How do you move someone with a suspected spinal injury?

If you suspect someone has a spinal injury:

  1. Get help. Call 911 or emergency medical help.
  2. Keep the person still. Place heavy towels or rolled sheets on both sides of the neck or hold the head and neck to prevent movement.
  3. Avoid moving the head or neck. …
  4. Keep helmet on. …
  5. Don’t roll alone.

What is the most important indicator of a possible spinal injury?

Emergency signs and symptoms of a spinal cord injury after an accident may include: Extreme back pain or pressure in your neck, head or back. Weakness, incoordination or paralysis in any part of your body. Numbness, tingling or loss of sensation in your hands, fingers, feet or toes.

When should you suspect C spine injury?

Spinal cord injury should be suspected in unconscious patients, or in patients with axial neck pain or those with evidence of neurological injury. Beware that absence of neurologic findings does not eliminate the possibility of spinal cord injury. Physical examination should include a detailed neurological examination.

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How do you assess a spinal injury?

Perform an X-ray as the first-line investigation for people with suspected spinal column injury without abnormal neurological signs or symptoms in the thoracic or lumbosacral regions (T1–L3). Perform CT if the X-ray is abnormal or there are clinical signs or symptoms of a spinal column injury.

What should you do if someone has a pulse but is not breathing?

If the person is not breathing but has a pulse, give 1 rescue breath every 5 to 6 seconds or about 10 to 12 breaths per minute. If the person is not breathing and has no pulse and you are not trained in CPR, give hands-only chest compression CPR without rescue breaths.

What are the do’s and don’ts of responding to back injury?

Do not try to “play through the pain.” It is essential to let your body recover before resuming strenuous activity. Do not sleep on your stomach. This can worsen back pain. Do not perform heavy lifting or repetitive twisting of your back for up to six weeks.

What can happen if you leave someone who is unconscious and breathing lying on their back?

If an unconscious casualty is left on their back, their tongue may fall back and block the airway. An unconscious casualty is still breathing and has a pulse, but may not respond to gentle shouting and stimulation.

Do you do CPR if there is a pulse?

If there is no sign of breathing or pulse, begin CPR starting with compressions. If the patient definitely has a pulse but is not breathing adequately, provide ventilations without compressions. This is also called “rescue breathing.” Adults: give 1 breath every 5 to 6 seconds.

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What position do you place an unconscious pregnant woman?

This is especially true for unconscious pregnant women, once turned on to their left side, pressure is relieved on the inferior vena cava, and venous return is not restricted. The cause of unconsciousness can be any reason from trauma to intoxication from alcohol.

What happens if you do CPR on someone with a pulse?

It is unlikely you will do harm if you give chest compressions to someone with a beating heart. Regular recovery (pulse) checks are not recommended as they may interrupt chest compressions and delay resuscitation.

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