When should you use spinal motion restriction?
Patients for whom spinal motion restriction should be considered include those who have sustained blunt trauma through a high-energy mechanism and any of the following:
- Altered level of consciousness.
- Drug or alcohol intoxication.
- Inability to communicate.
- Spinal column pain and/or tenderness.
What is spinal mobile restriction?
Spinal motion restriction is the use of a cervical collar and cot to maintain neutral alignment of the spine during transport of the patient with concern for spinal injury. The goal is to reduce excessive movement of the spine that may worsen existing spinal trauma and neurologic deficit.
What is the mandatory application criteria for spinal immobilization?
The patient must be alert (GCS 15) The patient cannot be intoxicated. The patient cannot have a distracting injury. The patient is not high risk (age >65 y or dangerous mechanism or paresthesias in extremities)
When should you backboard a patient?
Appropriate patients to be immobilized with a backboard may include those with: o Blunt trauma and altered level of consciousness; o Spinal pain or tenderness; o Neurologic complaint (e.g., numbness or motor weakness) o Anatomic deformity of the spine; o High energy mechanism of injury and: ▪ Drug or alcohol …
How do you do spinal motion restrictions?
This can be accomplished by placing the patient on a long backboard, a scoop stretcher, a vacuum mattress, or an ambulance cot. If elevation of the head is required, the device used to stabilize the spine should be elevated at the head while maintaining alignment of the neck and torso.
How is active spinal motion restriction provided?
How is active spinal motion restriction provided? Manually hold the person’s head to limit movement. … You are providing care to a responsive person who has been injured and is bleeding out of a large wound in the leg.
What should you do during an extrication procedure?
Terms in this set (11)
- Activate the EAP.
- Safely enter the water.
- Perform a rescue providing manual in-line stabilization.
- Check for responsiveness and breathing.
- Remove the victim from the water using the appropriate spinal back boarding procedure.
What is a concern while caring for the patient who is completely immobilized to a long backboard?
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”
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 C spine?
About the cervical spine
The cervical spine refers to the seven spinal bones (vertebrae) in the neck. It supports the head and connects to the thoracic spine. Most of the ability to turn the head comes from the top two segments of the cervical spine.
When should you immobilize your spine?
Patients who should have spinal immobilization include the following: Blunt trauma. Spinal tenderness or pain. Patients with an altered level of consciousness.
How would you deal with a combative person while also trying to maintain spinal immobilization?
Avoid arguing with the patient. Simply keep repeating the three magic cues, and carry on with patient care. If head-banging ensues, provide padding around the patient’s head. A blanket or “head bed” will eventually be needed for spinal immobilization anyway.