How would you manage an unconscious breathing casualty with a possible spinal injury?

What would you do if an unconscious casualty has 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 best position for an unconscious breathing casualty with a possible spinal injury?

Unconscious patient/s

Place the unconscious patient in recovery position supporting neck and spine in a neutral position at all times to prevent twisting or bending movements. Maintain a clear and open airway.

How do you handle an unconscious breathing casualty?

Gently tilt their head back to keep the airway open. If breathing or pulse stops at any time, roll the person onto their back and begin CPR. If you think there is a spinal injury, leave the person where you found them (as long as breathing continues).

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Would you open the airway of an unconscious casualty if you suspected a spinal injury?

If you think a person may have a spinal injury, do not attempt to move them until the emergency services reach you. If it’s necessary to open their airway, place your hands on either side of their head and gently lift their jaw with your fingertips to open the airway. Take care not to move their neck.

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.

Can you use an AED on a casualty with a suspected spinal injury?

Look, listen, and feel for 10 seconds. If they’re breathing, continue to support their head, monitor their breathing, and level of response. If they are unresponsive and not breathing, make sure you have called 999/112 for emergency help and start CPR straight away. Ask a helper to find and bring a defibrillator (AED).

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.

What can happen if an unconscious casualty is left 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.

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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.

Is an unconscious person still breathing?

People who become unconscious don’t respond to loud sounds or shaking. They may even stop breathing or their pulse may become faint.

Can unconscious patients hear?

Twenty-five percent of all unconscious patients can hear, understand, and emotionally respond to what is happening in their external environment. However, because of their medical condition, they are incapable of moving or communicating their awareness.

What are the different levels of unconsciousness?

Levels of consciousness

Level Summary (Kruse)
Somnolent Sleepy
Obtunded Decreased alertness; slowed psychomotor responses
Stuporous Sleep-like state (not unconscious); little/no spontaneous activity
Comatose Cannot be aroused; no response to stimuli

What are the dos 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 position do you place an unconscious pregnant woman?

In medical parlance, the recovery position is called the lateral recumbent position, or sometimes it is referred to as the lateral decubitus position. In nearly every case, first aid providers are advised to place the patient on his or her left side and regularly call it the left lateral recumbent position.

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