This is the supine spinal immobilization skill.
The equipment that we will need for this skill
is a long spine board with straps,
a head immobilizer either commercial or improvised,
a C-collar and padding material.
The recommended PPE for this skill
are gloves and eye protection.
Once I've gathered all the necessary equipment
and have my assistant place and maintain
neutral inline stabilization of the patients cervical spine.
and I've you go a head and hold manual stabilization
while I ensure that the patient in an adequate historian
able to answer questions that are not altered in any way.
Now I'm going to assess motor sensory and circulatory functions
in a four extremities.
Are you able to move your hands?
Checking radial pulses.
Can you feel this?
Are you able to move your toes?
Checking pedal pulses
Are you able to feel this?
Yes
Now I'm going to measure and apply the appropriate sized C-collar
I'm going to have my other assistant move forward
Position the long spine board in place
and I'll have you hold right here
and on heads count we'll roll the patient towards me.
Palpate the back of the spine looking for any deformities.
and again on heads count we will roll the patient
back to the long spine board.
1...2...3...
and we'll adjust. We'll move towards you on heads count
1..2..3
We'll pad any voids a necessary.
We'll then secure the patients torso to the device.
We'll evaluate torso fixation and adjust as necessary
securing the patients legs to the device
We'll tighten the straps and maybe take a deep breathe in
and again
Ensuring all the straps are tight
we will then secure the patients head to the device
Secure the patients arms. Just have you cross your arms right there...very good.
Reevaluate all our straps and reassess
motor sensory and circulatory functions in all four extremities
Can you move your hands?
Checking for radial pulses
are you able to feel this?
Yes
Can you move your toes?
Checking pedal pulses
Are you able to feel this?
and we'll move the patient and initiate transport.