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Accreditation Council for Continuing Medical Education® (ACCME) to provide continuing education for the healthcare team.        

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Spinal Injury
  • First aid response for spinal injury (head/neck/back):

For conscious person:
  • Advise him/her not to move, and call EMS or 911
  • Position yourself behind the victim's head. Support his/her head, firmly with your hands over the ears. Steady and support his/her head in the neutral head position, so that the head, neck and spine are aligned. This is the neutral position which is the least harmful position for a suspected spinal injury.
  • If you suspect neck injury, then ask a helper to place a rolled-up blankets, towels or clothing on either side of the head and neck, while you continue to support the head in the neutral position.
  • Continue to support the neck in neutral position, until the EMS arrives.
  • Monitor and record vital signs – level of response, pulse and breathing
  • Be prepared to administer CPR, if necessary

For unconscious person:
  • Call EMS or 911
  • Position yourself behind the victim's head. Support his/her head, firmly with your hands over the ears. Steady and support his/her head in the neutral head position, so that the head, neck and spine are aligned. This is the neutral position that is the least harmful position for a suspected spinal injury.
  • Open the airway using the jaw thrust method. Place your hands on each side of the face with the fingertips gently pushing the angle of the jaw upwards, to open the airway. DO NOT tilt the neck.
  • If person is not breathing and there are no signs of circulation, then start the CPR. 

Logroll Technique:
  • This technique should be used to turn an unconscious person with a spinal injury, but only. If there are additional people to help you
  • You need to support the victim's, head and neck firmly.
  • Ask the helpers to straighten the limbs. And support the victim’s body especially the spine and the limbs.
  • Everyone needs to work together, to roll the person, keeping the head, neck, trunk, and toes in a straight line at all times.


 
 
 
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