This is the seated spinal immobilization skill.
The equipment that we will need for this skill.
is a short spinal immobilization device with straps
a C-collar and padding material.
The recommended PPE for this skill are gloves and eye protection.
Once I have gathered all the necessary equipment
I'm going to have one of my assistants
place and maintain neutral inline stabilization
to the patients cervical spin.
and as you continue to hold manual stabilization
and assure that the patient is a reliable historian
and is not altered in any way, I'm going to assess motor sensory
and circulatory functions in all four extremities.
Hi. Can you move your fingers?
checking radial pulses
Do you feel this?
Yes
are you able to move your toes?
checking pedal pulses
can you feel this?
Yes
OK
I'm then going to measure and apply an appropriate sized C-collar.
and we will get our short spine immobilization device
and then I'm going to get my second partner
hold on the torso and on heads count we will move forward
and position the device appropriately.
ready...1...2...3
and again on heads count we will move the patient back
Ready...1...2...3
Now we will secure the patients torso to the device.
Go ahead and put your arms up like you are holding a steering wheel...very good.
clip that for me
and we'll slide the leg straps into place.
and we'll evaluate torso fixation and adjust as necessary
while securing the torso.
Going to have the patient take a deep breathe in.
We are going to tighten the straps by feeding them through
to avoid excessive motion of the patient.
and then take a deep breathe in
take a deep breath in
Once the torso is secured.
we will then pad behind the patients head as necessary
and secure the patients head to the device.
Once the patient has been secured to the device
we reassess motor sensory and circulatory functions
in all four extremities.
are you able to move your fingers?
checking radial pulses
are you able to feel this?
Yes
are you able to move your toes?
checking pedal pulses
are you able to feel this?
Yes
We will then move the patient to a long spine board
release the leg straps and secure the patient to the long spine board
and reassess the motor sensory and circulatory functions
in all four extremities.