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Background: It has been common practice in trauma to place patients in cervical collars and on long backboards (LBBs) to achieve spinal immobilization. LBBs are used to help prevent spinal movement and facilitate extrication of patients.
Correspondingly, what is spinal immobilization?
NREMT's use of the term, spinal immobilization is defined as the use of adjuncts (i.e cervical collar, long board, etc.) being applied to minimize movement of the spinal column. The benefit of spinal immobilization in most trauma patients is unproven.
In this manner, how do you immobilize a spinal injury?
How to Implement Spinal Motion Immobilization
- Grasp the patient's head and shoulders from a position at the head of the bed, physically keeping the spine aligned with the head.
- While maintaining spinal alignment, have an assistant apply a cervical collar without lifting the head off the bed.
Spinal Motion Restriction Guidelines
- SMR can be achieved with a backboard, scoop stretcher, vacuum splint, ambulance cot, or other similar device to which a patient is safely secured.
- Indications for SMR following blunt trauma:
- SMR should apply to the entire spine.