EMT Skills: Spinal Immobilization Seated Patient - EMTprep.com

EMTprep
23 Jun 201406:56

Summary

TLDRThe video presents a practical assessment of spinal immobilization for a seated patient involved in a motor vehicle accident. It outlines the EMT's systematic approach, starting with ensuring scene safety and performing a circulation, sensation, and motor function (CMS) assessment. The EMT applies a cervical collar and positions a KED device while collaborating with an assistant. Key steps include securing the patient with straps while maintaining spinal alignment and conducting a final CMS reassessment. This structured method emphasizes the importance of patient safety during transport and showcases essential EMT skills.

Takeaways

  • πŸ˜€ Proper spinal immobilization is crucial for patients involved in motor vehicle accidents.
  • πŸ˜€ Begin by ensuring that the scene is safe and BSI (Body Substance Isolation) is established.
  • πŸ˜€ Maintain inline neutral positioning of the patient's head to stabilize the cervical spine.
  • πŸ˜€ Conduct a quick assessment of Circulation, Motion, and Sensation (CMS) in all extremities.
  • πŸ˜€ Size and apply a cervical collar appropriately before positioning the KED device.
  • πŸ˜€ Carefully position the KED device behind the patient without moving the spine excessively.
  • πŸ˜€ Secure the torso with the KED device while ensuring minimal spinal movement.
  • πŸ˜€ Attach the ischial straps securely between the patient's legs for additional stability.
  • πŸ˜€ Pad behind the head as necessary to secure the head appropriately to the KED device.
  • πŸ˜€ After securing the patient to a long backboard, reassess CMS to confirm continued stability.

Q & A

  • What is the primary purpose of the spinal immobilization skill demonstrated in the video?

    -The primary purpose is to properly secure a seated patient involved in a motor vehicle accident to prevent further injury, particularly to the spine.

  • What initial assessment should be conducted before immobilizing the patient?

    -An initial assessment should include checking for responsiveness and performing a Circulation, Sensation, and Movement (CMS) check on the patient's extremities.

  • What does CMS stand for in the context of patient assessment?

    -CMS stands for Circulation, Sensation, and Movement, which are critical checks to ensure the patient has adequate blood flow and nerve function in their limbs.

  • How is the cervical collar applied to the patient?

    -The cervical collar is sized appropriately for the patient and applied while ensuring the patient's head is in a neutral position.

  • What is the KED device used for?

    -The KED device is used to immobilize the patient while they are seated, allowing for safe transportation without compromising spinal integrity.

  • What steps are taken to position the KED device behind the patient?

    -The patient is instructed to lean forward slightly while the KED device is positioned behind them, ensuring that it is placed correctly before guiding them back into their seat.

  • Why is it important to maintain C-spine stabilization during the procedure?

    -Maintaining C-spine stabilization is crucial to prevent any movement of the spinal column that could lead to further injury or complications.

  • What should be done after securing the torso with the KED device?

    -After securing the torso, the ischial straps should be placed between the patient's legs, and then the head should be secured to prevent movement.

  • What should be checked again after the patient is transferred to a long backboard?

    -After transferring to the long backboard, another CMS check should be performed to confirm that circulation, sensation, and movement are still present in all extremities.

  • What is the final step once the patient is fully secured?

    -The final step is to confirm if any further actions are necessary and to complete the assessment process to ensure the patient is stable.

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Related Tags
Spinal ImmobilizationEmergency MedicalPatient CareFirst RespondersCervical SpineKED DeviceTrauma AssessmentHealthcare TrainingEMS SkillsSafety Protocols