Why caution is needed when handling a person with possible spinal cord injury?
It is rare for someone to have suffered a spinal injury, but it is always best to be extra cautious, as it is possible to have broken your back or neck and not be aware of this until it is x-rayed. It is incredibly important to keep the spine in line and avoid them twisting.
What is the most important priority in treating an unconscious casualty with suspected spinal injury?
Airway management takes precedence over any suspected spinal injury. It is acceptable to gently move the head into a neutral position to obtain a clear airway. If the victim is breathing but remains unconscious, it is preferable that they be placed in the recovery position.
What is the correct order to manage a victim with a suspected spinal injury?
Managing a spinal injury
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. If the ambulance is delayed, apply a cervical collar, if trained to do so, to minimise neck movement.
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.
How do you treat a suspected spinal injury?
If you suspect someone has a spinal injury:
- Get help. Call 911 or emergency medical help.
- 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.
- Avoid moving the head or neck. …
- Keep helmet on. …
- Don’t roll alone.
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 is the most important indicator of a possible spinal injury?
Emergency signs and symptoms of a spinal cord injury after an accident 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).
When should you suspect C spine injury?
Presence of 4 clinical indicators warrants advanced medical care: Unconsciousness (or altered consciousness) Bilateral neurologic complaints/findings. Significant cervical spine pain (with or without palpation)
Which is the first step you should take in caring for a person with burns?
Once someone has been burned, a critical first step is to identify the most appropriate on-scene care. Often this means removing the victim, cooling the burn and addressing the ABCs: airway, breathing and circulation.
What do you do when caring for a guest with suspected spinal injury sitting or standing in ankle deep water?
If you suspect a spinal injury in deep water, you should first turn the victim from a prone to a supine position. Then float the victim to shallow water, where you can then immobilize him/her onto an appropriate SID.
Why is it important to support the victim’s head and spine when moving a victim?
First aid when the injured person is unconscious
The person should not be moved unless they are in immediate danger. Any unnecessary movement may cause greater complications to the head injury itself, the spine or other associated injuries. A good rule is that if the head is injured, the neck may be injured too.
What can happen if you leave someone who is unconscious and breathing lying on their back?
When a casualty is unconscious, their muscles become relaxed, including their swallowing muscles, and if the casualty is not placed on their side, they can choke on their own fluids. If an unconscious casualty is left on their back, their tongue may fall back and block the airway.
What rescue breathing technique is used on a patient with a suspected spinal cord injury?
The jaw-thrust maneuver is often used on patients with cervical neck problems or suspected cervical spine injury.
What are signs of a head neck or back injury?
Symptoms of a neck injury often 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.
- Loss of bladder or bowel control.
- Difficulty with balance and walking.