Spinal Immobilization for EMS and Episode 179
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Welcome to Episode 179
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EMS News-
How Camera Phones Can Aid in Diagnostics
911 Funds Plug State Budget Holes
New Invention Reduces Risk of Infection for Paramedics
State-funded EMT Training may Extend Recertification Time
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Tip of the Week Spinal Immobilization for EMS
Emergency medicine providers are usually faced with situations wherein the victims may have potential or actual injuries to the spine. One thing that paramedics should do in such instances before attempting to transport the patient is to immobilize the spine.
In performing spinal immobilization, the paramedic should pay special attention to the c-spine. If it is not in neutral position, an attempt should be made to achieve proper alignment. If the patient is able to move, they should move their neck into the line. If there is any pain, neurological deterioration or resistance to movement the procedure should be abandoned and the neck splinted in the current position.
There is a criteria set in determining candidates for spinal immobilization. Special cases like pediatric patients, athletes, and motorcycle accidents also call for special considerations or policies in the application of the procedure.
Criteria for Spinal Immobilization
Spinal Immobilization Policies
Spinal Stabilization and Management
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Smile Again by Carrie Cunningham
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Until next time, Scene safety, BSI!
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Comments on Spinal Immobilization for EMS and Episode 179
Omce again another great show. Spinal precautions are one of the basic skills that we have to ” Prevent the Injury from becoming worse’ one of the basics in BLS.
Unfortunately the [Private] Ambulance service here in WA, Australia has a Medical Director who does not believe in Spinal Boards or KEDS! The sight of MVA victims being requested to exit the vehicle to sit on the stretcher is common!!!
Thankfully our Fire Service carry long and short boards and so the more experienced EMS staff request FESA back-up just to use their Long Spine Boards…………shame on you St John Ambulance.
Sure you can argue that less than 1% of spinal injuries are agrivated by their packaging and that unless there are positive symptoms then what’s all the fuss about, but what if you were that 1%? fancy drinking your meals through a straw for the rest of your life??
Spinal precautions are basic skills!