Maintain manual in-line stabilization… Maintain manual in-line stabilization… Assess PMS…Assess PMS… Apply a rigid C-collar…Apply a rigid C-collar… Insert a short spine immobilization Insert a short spine immobilization

device…device… Open the board’s side flaps (if present)…Open the board’s side flaps (if present)… Secure the upper torso straps first…Secure the upper torso straps first… Position and fasten both groin loops…Position and fasten both groin loops… Pad any space… Pad any space…

Preparation for Transport: Preparation for Transport: SittingSitting Patients Patients

Secure the forehead strap…Secure the forehead strap… Place the long spine board next to…Place the long spine board next to… Turn the patient parallel…Turn the patient parallel… Lift the patient (without rotating them) …Lift the patient (without rotating them) … Secure the short and long spine boards…Secure the short and long spine boards… Reassess PMS function…Reassess PMS function…

Preparation for Transport: Preparation for Transport: SittingSitting Patients Patients

Establish manual, in-line stabilization Establish manual, in-line stabilization apply a C-collar apply a C-collar

Position the long spine board uprightPosition the long spine board upright Two rescuers stand on either sideTwo rescuers stand on either side The two rescuers grasp the handholds at The two rescuers grasp the handholds at

shoulder levelshoulder level ““Prepare to lower”Prepare to lower” Carefully lower the patient…Carefully lower the patient…

Preparation for Transport: Preparation for Transport: StandingStanding Patients Patients

Immobilization DevicesImmobilization Devices

To be effective:To be effective:– The collar should rest on the shoulder girdleThe collar should rest on the shoulder girdle

– Provides firm support under both sides of the Provides firm support under both sides of the mandible; doesn’t obstruct the airwaymandible; doesn’t obstruct the airway

– May improvise with a rolled towel around the May improvise with a rolled towel around the patient’s head, taped the long spine board if patient’s head, taped the long spine board if necessarynecessary

Cervical CollarsCervical Collars

Application of a cervical Application of a cervical collar:collar:– One rescuer provides One rescuer provides

continuous in-linecontinuous in-line

– Measure the proper size Measure the proper size collarcollar

– Begin by placing the chin Begin by placing the chin supportsupport

– Maintain head stabilizationMaintain head stabilization

– Ensure the collar fits Ensure the collar fits properlyproperly

Cervical CollarsCervical Collars

Used on patients found in a sitting position.Used on patients found in a sitting position.

Short BackboardShort Backboard

Provides full-body immobilization.Provides full-body immobilization.

Long Spine BoardLong Spine Board

Immobilize the patient as follows:Immobilize the patient as follows:– Position the device…Position the device…– Log roll and if there are spaces, pad…Log roll and if there are spaces, pad…

Adult Child

PADDING

PADDING

Long Spine BoardLong Spine Board

Immobilize the patient as follows cont’d:Immobilize the patient as follows cont’d:– Secure the torso to the deviceSecure the torso to the device– Reassess PMSReassess PMS– When the patient is properly secured you When the patient is properly secured you

can safely move the boardcan safely move the board

Long Spine BoardLong Spine Board

Is the airway clear and is the patient breathing Is the airway clear and is the patient breathing adequately?adequately?

Can the face guard be removed?Can the face guard be removed?

Can airway be maintained and ventilations Can airway be maintained and ventilations assisted with helmet in place?assisted with helmet in place?

How well does the helmet fit?How well does the helmet fit?

Can the patient move within the helmet?Can the patient move within the helmet?

Can the spine be immobilized in a neutral Can the spine be immobilized in a neutral position with the helmet on?position with the helmet on?

Helmet RemovalHelmet Removal

A helmet that fits well prevents the head A helmet that fits well prevents the head from moving and should be left on, as from moving and should be left on, as long as:long as:

– There are no impending airway or There are no impending airway or breathing problemsbreathing problems

– It does not interfere with assessment and It does not interfere with assessment and treatment of the airwaytreatment of the airway

– You can properly immobilize the spineYou can properly immobilize the spine

Helmet RemovalHelmet Removal

Remove a helmet if:Remove a helmet if:

– Wearing it makes assessing or managing an Wearing it makes assessing or managing an airway problem difficultairway problem difficult

– It prevents proper immobilization of the spineIt prevents proper immobilization of the spine

– It allows excessive head movementIt allows excessive head movement

– AlwaysAlways remove a helmet from a patient in remove a helmet from a patient in respiratory or cardiac arrest respiratory or cardiac arrest

Helmet RemovalHelmet Removal

Questions?Questions?