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Spinal precautions, also known as spinal immobilization and spinal motion restriction, are efforts to prevent movement of the bones of the spine in those with a risk of a spine injury. [1] This is done as an effort to prevent injury to the spinal cord [ 1 ] in unstable spinal fractures . [ 2 ]
A spinal board, [4] is a patient handling device used primarily in pre-hospital trauma care. It is designed to provide rigid support during movement of a person with suspected spinal or limb injuries. [5] They are most commonly used by ambulance staff, as well as lifeguards and ski patrollers.
Halo-gravity traction (HGT) is a type of traction device utilized to treat spinal deformities such as scoliosis, [1] [2] congenital spine deformities, cervical instability, basilar invagination, and kyphosis. [3] It is used prior to surgical treatment to reduce the difficulty of the following surgery and the need for a more dangerous surgery.
Typically it is shaped to accommodate an adult in a face up position and it is used in search and rescue operations. The person is strapped into the basket, making safe evacuation possible. The person generally is further protected by a cervical collar and sometimes a long spine board, so as to immobilize the person and prevent further injury.
Casualty lifting: roll-and-lift method with a long spine board alternative for the position of the rescuers; note the arms that cross on the hips roll-and-lift with a flexible stretcher manual roll-and-lift method, or "spoon lifting", with three team members. The rolling methods can only be used on a casualty who does not have an unstable trauma.
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.
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