Supine Spinal Immobilization Practical Assessment Notes

Introduction

• Purpose: Evaluate ability to secure a patient to a long backboard.
• Patient's vitals are stable.
• Instructor's role: Provide instruction and ensure proper procedure.
• Assistant's role: Help with the immobilization process.
• Equipment: Review before starting.

Initial Steps

• BSI (Body Substance Isolation): Confirm scene safety.

Procedure

Head and Neck

• Direct partner to place head in an inline neutral position.
• Maintain C-spine stabilization.

Circulation, Motor, and Sensation (CMS) Check

• Upper Extremities:
  • Check bilateral pulses.
  • Ask patient to squeeze fingers and identify touched fingers.
• Lower Extremities:
  • Remove shoes.
  • Assess pedal pulses.
  • Ask patient to push and pull against hands.
  • Identify touched toes.
• Confirm pulses, sensation, and motor function are intact.

C-Collar Application

• Size and select appropriate C-collar.
• Preform collar and apply without excessive neck movement.
• Ensure collar fit by asking patient to open their mouth slightly.

Log Roll and Positioning

• Log roll patient with assistance on instructor's count.
• Check the patient's back for deformities or wounds.
• Position the long board.
• Roll patient flat onto the board.

Securing the Patient

• Move patient up and over on the board in one motion.
• Secure torso with straps:
  • Under arms, tighten straps, and reposition arms.
• Check need for padding and apply if necessary.
• Secure head, legs, and feet.

Reassessment

• Reassess CMS:
  • Upper Extremities: Check pulses, finger identification, strength.
  • Lower Extremities: Check pedal pulses, toe identification, strength.
• Confirm intact pulses, sensation, and motor function.

Conclusion

• Ensure all steps are completed and patient is fully secured.
• Additional actions not required.