Spinal Immobilization Essay

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Spinal Immobilization Spinal immobilization is a key factor in preventing further injury to the spine and spinal cord. Proper immobilization requires a teamwork approach with all rescuers being familiar with the appropriate procedures. We will cover three types of spinal immobilization, the standing patient, supine patient, and a water rescue. All three require the use of a backboard, minimum of three straps, C-collar, head blocks, and securing straps. It is preferred that a minimum of four rescuers. Standing Procedure 1. Scene safety and size up with BSI 2. Determine the MOI and need for immobilization 3. Explain procedure to patient 4. One rescuer to maintain C-spine immobilization 5. Another rescuer will then measure and apply the appropriate C-collar 6. Place the backboard behind the patient 7. Have two rescuers, one on each side, standing beside the patient, facing the head rescuer 8. The rescuers then will place their hand under the patient’s arm, grabbing the backboard at or slightly higher than the shoulder 9. On the head rescuer’s command, begin to lowering the backboard to the ground. You must use your legs while lowering 10. Once on the ground, properly position the patient on the backboard. Be sure to move the patient as a unit. The head rescuer will always give the movement commands. 11. Utilize the three straps, secure the patient on the backboard. It is imperative that the torso is secured first. 12. Secure the patient’s head to the backboard. The head rescuer must maintain manual C-spine immobilization until the head pillows and head straps are in place. Supine Procedures 1. Scene safety and size up with BSI 2. Determine MOI and the need for immobilization 3. Explain the procedure to the patient 4. Have one rescuer maintain manual C-spine immobilization 5. Another rescuer can be sizing and applying the appropriate size

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