When a patient is being secured to a spinal immobilization device which part should be secured first?

Should a patient secured in an immobilization device for seated patients also be secured to a backboard?

Secure the patient’s torso and legs to the short backboard. … 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. Maintain manual inline stabilization until the head is properly secured.

What is the proper sequence for securing a patient onto the spine board?

Place hands in appropriate position, then roll patient onto backboard as one unit. Position patient in centre of backboard. Secure body to backboard using appropriate strapping devices in correct sequence (chest, hips, feet). Pad any natural hollows, then secure patient’s head to backboard using appropriate equipment.

How do you do spinal immobilization?

How to Implement Spinal Motion Immobilization

  1. Grasp the patient’s head and shoulders from a position at the head of the bed, physically keeping the spine aligned with the head.
  2. While maintaining spinal alignment, have an assistant apply a cervical collar without lifting the head off the bed.
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What is a concern while caring for the patient who is completely immobilized to a long backboard?

Pressure Sores

Because the backboard is a rigid appliance that does not conform to a patient’s body, patients develop pressure sores as a result of being immobilized on the backboard. In 1987, Linares et al.

What should you not do regarding spinal immobilization?

“Patients for whom immobilization on a backboard is not necessary include those with all of the following:

  • Normal level of consciousness (Glasgow Coma. Score [GCS] 15)
  • No spine tenderness or anatomic abnormality.
  • No neurologic findings or complaints.
  • No distracting injury.
  • No intoxication”

When moving a patient to a long spine board you should?

The first step is to slip the backboard under the patient before the transferring process. Then gently roll the patient onto his/her side and the place the board under beneath them. Then assist the patient in rolling back onto his or her own weight so that the backboard lies three quarters under their back.

When do you use a long spine board?

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.

When should you immobilize a patient?

Patients who should have spinal immobilization include the following: Blunt trauma. Spinal tenderness or pain. Patients with an altered level of consciousness.

Which form of spinal injury is most common in hangings?

Asphyxiation is the most common cause of death in hanging. Fracture to cervical spine in hanging is not as common as asphyxiation.

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How do you stabilize 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.

Which portions of the spine are the most vulnerable to injury?

The Lumbar Spine

The lower part of your back is the most prone to injury, though they are often less severe injuries than when the cervical spine is involved. The lower back is composed of bones, muscles, and tissues that begin at the cervical spine and stretch down to your pelvic bone.

What is the safest level at which to move a patient on a stretcher?

Position the patient closest to the side of the bed where the stretcher will be placed. Safe working height is at waist level for the shortest health care provider. The patient must be positioned correctly prior to the transfer to avoid straining and reaching.

What is the rapid extrication technique?

The rapid extrication technique is designed to move a patient in a series of coordinated movements from the sitting position to the supine position on a long backboard while always maintaining stabilization and support for the head/neck, torso, and pelvis.