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Trauma - Spinal Immobilization

Clinical Indications: &= nbsp; &nbs= p; &= nbsp; &nbs= p;

= ______ 1. Need= for spinal immobilization as determined by protocol

Procedure:

= ______ 1.      Gath= er and prepare equipment (to include an appropriate sized cervical collar).

= ______ 2.      Expl= ain the procedure to the patient.

= ______ 3.      Plac= e the appropriate sized C-collar on the patient while maintaining in-line stabilization of the cervical spine. This stabilization should be provided by a second rescuer and not involve traction or tension, but rather simply maintaining the head in a neutral, midline position while the collar is being applied by the first rescuer.

= ______ 4.      Once= the C-collar is secured, the second rescuer should still maintain in-line stabilization of the patient’s head and cervical spine.

= ______ 5.      Plac= e the patient on a long spine board with the logroll technique or the Z-slide technique if the patient is prone or supine. For the patient in a vehicle or otherwise unable to be placed prone or supine, place them on the backboard = with the safest method available that allows maintenance of in-line spinal stabi= lity.

= ______ 6.      Stab= ilize the patient with straps and head rolls/tape or a similar device. Once the head is secured to the backboard, the second rescuer may release manual in-line stabilization.

= ______ 7.      NOTE= : Some patients, due to large size o= r age, will not be able to be immobilized through in-line stabilization with stand= ard backboards and C-collars. Nev= er force a patient into a non-neutral position to immobilize them. Such situations may require a seco= nd rescuer to maintain manual stabilization throughout the transport to the hospital. <= /p>
= ______ 8.      Docu= ment the procedure, time and patient response in the electronic PCR.<= /span>

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

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