This is the spinal immobilization of
a supine patient skill
We will evaluate your ability to properly
secure a patient to a long backboard during the assessment you will have CCH assistant your patient's vitals are
stable when you move the patient to the long backward I'd like you use both
mine and the EMT assistance help you are in charge of ensuring proper
directions that are given to your partners you may utilize any of the equipment
shown before you and I'd like you to review that now BSI is my seat save the
scene assay all right so the first thing I'm going to do is I'm going to direct
my partner to come in and place the head in an inline neutral position and then
I'm going to direct my partner to maintain c-spine stabilization.
Once he's doing that I'm going to check CMS I
have bilateral pulses can you squeeze my fingers for me awesome thank you tell
me which is fingers I'm touching here okay and now I'm going to move down to
the feet take the shoes off this espinal pulses and can you push down against
my hands
perfect now pull back up against okay
you tell me when shows are touching
I thank you all right
Pulses, sensation and motor function
are intact and all accompanies all right so the next thing we're going to do is
we're going to put a c-collar on so i'll size my patient for a c-collar select
my c-color and set it to the appropriate size p for my c-collar a little bit
apply the c-collar ensuring that I'm not moving the neck around too much all
right can you open your mouth a little bit for me perfect
All right now we have the seek alarm
the next thing we're going to do is we're going to log-roll the patient and
place around the board so I'll have my other assistant come in and help me with
that so on the heads count we're going to roll the patient towards us and then
I will check her back and then I will position the board and then on the heads count
again we will roll her flat okay
you can assess the back really quickly
checking for any deformity any wounds position the board all right and on the
heads count okay so
now
We’re going to position it properly
on the board so we're going to move up and over in one swift motion all right
one heads count foot now we will secure the patient to the
board using our straps so coming over the shaft alright I'm going to put this
underneath your arms here we're going to tighten this up quick so if you can
pick your hands up for just a minute and you can cross them again got once so
the torsos secured again I would check to make sure
let's see if I need it to pad anywhere you
don't need the pad anywhere so next I will screw the
head all right patients head secure and
then move down the body to secure the feet the legs and the feet alright so the
patient's secured to the board
Now I will reassess CMS good pulses
can you squeeze my fingers okay can you tell me which fingers in touch okay
moving down to the feet good pedal pulses can you tell me which Axilla touching
okay you push down against my hands all right and pull back up against them
okay pulses sensation and motor function are present in all extremities all
right is there anything else you'd like to do
nope that's it okay thank you
English (auto-generated)
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