Frequent question: What are the principles of spinal management?

What are the 6 P’s related to spinal cord injury?

The “6 P’s” are: pulselessness, (ischemic) pain, pallor, paresthesia, paralysis or paresis, and poikilothermia or “polar” (cool extremity).

How do you manage C spine injury?

Treatment options. Possible therapeutic options include early functional conservative management with external immobilization using a cervical collar with different degrees of rigidity, Halo vest immobilization as well as anterior and/or posterior stabilization with decompression if indicated.

What are key points of nursing care following a spinal cord injury?

Initial care – immobilisation:

  • Immobilize the entire spine of any patient with known or potential SCI.
  • Immobilize neck with a hard collar. …
  • Use log roll with adequate personnel to turn patient while maintaining spine alignment.

What are the six P’s?

Let’s take a quick look at each of the Six P’s: patience, persistence, professionalism, presentation, politeness, and preparedness. Patience. Things will rarely happen as quickly as you would like and you will need to be patient as you go about your job search.

What is a complete spinal injury?

A complete spinal cord injury means that the nerves below the point of injury cannot communicate at all with the brain anymore. This leads to paralysis below the location of the injury.

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What are the aims of spinal precautions?

Spinal precautions are aimed at avoiding secondary damage to the spinal cord by excessive bending or twisting in the presence of potentially unstable injuries to the spinal column.

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.

How do you perform a spinal test?


  1. Palpate each spinous process for tenderness. Start with the atlanto-occipital joint and finishing at the sacroiliac joint.
  2. Palpate the trapezius and paraspinal muscles, assessing for muscle bulk, spasm and tenderness.
  3. Gently percuss down the spine for pain or tenderness. …
  4. Feel for temperature down the spine.

When should I clear my AC spine?

The goal is to clear the C-spine within four hours. If there is a significant painful “distracting” injury, then the goal is to clear the C-spine in less than 12 hours. iii. If the CT shows abnormalities, then the orthopedic or neurosurgical spine service should be consulted prior to removing the collar.

When Is Spinal immobilization done?

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