|
SKILL
|
PROCEDURE DESCRIPTION |
MATERIALS &
EQUIPMENT |
PRECAUTIONS |
MOUSE
OVER PICTURE TO VIEW MOVIE
|
| Prior to Providing Care |
- Candidate surveys the scene to ensure it is safe
- Candidate assesses patient's airway, breathing, and circulation
- Candidate activates EMS as appropriate |
|
- Continually monitor patient's vitals |
|
| Patient Positioning |
- Candidate assesses sensation and motor function
- Candidate places patient in correct position (grasps the ear holes and
applying slight traction - see below) |
Appropriately sized collar |
- Care should be taken to avoid excessive motion
- Continually monitor patient's vitals |
|
| Helmet Stabilization |
- Candidate should secure and maintain neck in a neutral
position
- Candidate should place fingers in ear holes (if patient is wearing
helmet)
- Candidate should slightly apply traction |
|
- Avoid excessive motion
- Continually monitor patient's vitals |
|
| Face Mask Removal Without Cervical Neck Injury |
- Use log roll
technique and maintain spinal alignment
- Stabilize model's head and neck with slight traction on the ear holes
- Remove loop straps with proper tool
- Flip facemask up |
- Acceptable cutting tool |
- Avoid excessive
motion
- Continually monitor patient's vitals |
|
| Helmet Removal With Cervical Neck Injury |
- Use log roll technique and maintain spinal
alignment
- Unsnap chinstrap
- Remove both jaw pads from helmet
- Slowly slide the
helmet off model |
|
- Avoid excessive motion
- Continually monitor patient's vitals |
|
| Selection of Cervical neck
collar |
- Candidate selects
appropriately sized collar
- Candidate measures fit according distance from shoulders to chin
(visual and with your fingers)
- Candidate compares this distance to the collar for fitting |
|
- Continually monitor patient's vitals |
|
| Application of Cervical Neck Collar |
- Select correct size neck collar
- Maintain neutral alignment
- Slide neck collar up chest wall
If patient in sitting position:
- Check to make sure the chin is well supported and the chin extends at
least to the central fastener of the collar
- If patient supine:
- Slide back portion of neck collar behind neck (fold velcro / fastening
loop so it will not catch or collect debris)
- Once loop attachment is visible, position chin and secure collar
Alternate:
- Supine patient, start with positioning chin piece and then sliding
collar |
- Appropriate size neck collar |
- Care should be taken to avoid excessive
motion
- Continually monitor patient's vitals |
|
| Spine Board Positioning |
-All motions are made on the
instruction of the person in control of the head
-The person in control of the head will position their hands so that
spinal control will not be compromised by log roll
- Head person instructs team on position and when action of log roll
will proceed. |
- Appropriate number of trained individuals
- Spine Board with securing straps
- Tape & blocks |
- Care should be taken to avoid excessive motion
- Continually monitor patient's vitals and checks motor, sensation, and
pulses |
|
| Spine Boarding Procedure |
- When the person at the head
makes the count, the team will as one unit roll the patient on his/her
side
- The spine board will be placed at an angle against the patient's trunk
when the patient is approximately mid roll
- The team will lower the patient as one unit onto the spine board
- It may be necessary to adjust the patient position on the board.
If so, use an appropriate maneuver, such as a J slide
- To J slide, the head person will make the instructions to team members
on that count, the patient will be slide down, over and up in a J motion
while spinal stabilization is maintained. This should be done in
such a motion as to not compromised spine (no bending, twisting, or
wrenching of patient and all team members must move as a unit)
- Once the patient is in the correct position on the board, the person
at the head will continue to hold stabilization while the team secures
both the head and the extremities |
- Appropriate number of trained individuals
- Spine Board with securing straps
- Tape & blocks |
- Care should be taken to avoid excessive motion
- Continually monitor patient's vitals and checks motor, sensation, and
pulses |
|
| Shoulder Pad Removal With Cervical Neck Injury |
- Use log roll technique and maintain spinal
alignment
- Cut up the side seam of the jersey
- Cut front strings
- Cut
axillary straps
- Open shoulder
pads
- Maintain head and neck stabilization while slowly removing the shoulder
pads |
- Acceptable cutting tool |
- Avoid excessive motion
- Continually monitor patient's vitals |
|
