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Spinal precautions generally include long spine boards, cervical collars, head blocks, and straps with the goal of immobilizing or reducing movement throughout the entirety of the spine. [ 4 ] [ 7 ] [ 12 ] They also include methods to reduce spinal movement while moving a patient, such as logrolling . [ 7 ]
A cervical collar, also known as a neck brace, is a medical device used to support and immobilize a person's neck. It is also applied by emergency personnel to those who have had traumatic head or neck injuries, [1] although they should not be routinely used in prehospital care.
a cervical collar with occipital padding as needed; side head supports, such as a rolled blanket or head blocks (head immobilizer) made specifically for this purpose, used to avoid the lateral rotation of the head; straps to secure the patient to the long spine board, and tape to secure the head
moulding of the vacuum mattress. There are three ways to put the casualty on the vacuum mattress: lifting the casualty and pushing the stretcher under it. This method requires a minimum of five team members (four lifting and one pushing the stretcher) and should be used when a spine or a pelvis trauma are suspected;
contact precautions final rev3: Author: Bob Hobbs: Software used: Adobe Illustrator CC 22.1 (Windows) Conversion program: Adobe PDF library 15.00: Encrypted: no: Page size: 612 x 792 pts (letter) Version of PDF format: 1.7
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If cervical spine injury is a concern and/or the patient is immobilized on a long spine board and/or with a cervical collar; the jaw-thrust maneuver can be used instead. If the patient is in danger of aspirating ; he or she should be placed in the recovery position or advanced airway management should be used.
Clearing the cervical spine is the process by which medical professionals determine whether cervical spine injuries exist, mainly regarding cervical fracture. It is generally performed in cases of major trauma. This process can take place in the emergency department or in the field by appropriately trained EMS personnel.
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