Cervical Collar Application

Summary

This instructional video explains how to properly size and apply a cervical collar. The process begins by measuring the patient from their chin to their trapezius using finger lengths, adjusting the collar size accordingly. Locking mechanisms secure the collar, ensuring a snug fit. The video demonstrates how to deploy the chin piece, position the collar with a scooping motion, and tighten it for a secure fit. Emphasis is placed on the importance of applying the collar tightly, checking for gaps, and confirming the patient’s comfort while ensuring stability and proper cervical alignment during application.

Takeaways

• 😀 Measure the patient's chin-to-trap distance in finger lengths to size the collar correctly.
• 😀 Use the two locking tabs on the collar to adjust its length for the correct size.
• 😀 The collar has four settings: tall, regular, short, and no neck. Ensure the appropriate size is selected before application.
• 😀 Lock all tabs in place once the correct collar size is chosen to ensure it stays secure.
• 😀 Always deploy the chin piece forward before adjusting the collar size.
• 😀 When sizing the collar, measure in finger lengths to ensure a snug fit, adjusting as necessary.
• 😀 Make sure the collar is applied tightly with no gaps between the plastic pieces for proper fit and stability.
• 😀 Use a scooping motion to apply the collar under the chin, not directly over the face, to ensure a comfortable and secure fit.
• 😀 Always confirm the collar is tight enough and there is no gap, but still allows for breathing and swallowing.
• 😀 After applying the collar, check its position and fit, ensuring it's done correctly for patient safety and comfort.

Q & A

How do you measure the patient for a cervical collar?

To measure the patient for a cervical collar, measure the distance between their chin line and trapezius using finger lengths. For example, if the measurement is approximately two finger lengths, you will use that as a reference to size the collar correctly.

What do you do if the patient's measurement is different from the default size?

If the measurement is different, you can adjust the collar by using the two locking tabs. Push them in from the opposite side, flip the collar, and adjust the length to fit the patient properly. There are four settings: Tall, Regular, Short, and No Neck.

What is the purpose of the chin piece on the collar?

The chin piece helps to stabilize the patient's neck by ensuring proper alignment of the collar. It must be deployed before sizing the collar to ensure the proper fit.

How do you lock the collar in place after adjusting the size?

Once the collar is sized correctly, you should lock in all four tabs (two locking pins and two locking tabs) to secure the collar in place and ensure it doesn’t move.

What should you do if the collar is too loose after application?

If the collar is too loose, it will leave a gap between the two pieces of plastic. You should tighten the collar to eliminate this gap and ensure the collar fits snugly around the patient's neck.

How should the collar be applied to the patient?

The collar should be applied by positioning the cervical spine at the center of the rectangular box, approaching at a slight angle. Use a scooping motion to bring the collar under the chin and secure it tightly around the neck.

Why is it important to apply the collar tightly?

The collar must be applied tightly to ensure proper stabilization of the cervical spine. A loose collar can lead to inadequate support and potentially worsen the patient's condition.

What should you check after applying the collar?

After applying the collar, you should verify that it is securely fitted without any large gaps between the plastic pieces. Additionally, check that the patient can still breathe and swallow comfortably.

What are the four settings available on the cervical collar?

The four settings available on the cervical collar are Tall, Regular, Short, and No Neck. These settings allow you to adjust the collar based on the patient's neck size and measurements.

What should be done before sizing the collar?

Before sizing the collar, make sure to deploy the chin piece by flipping it forward. All four tabs should be unlocked to allow for proper adjustment of the collar.