visual steps for long spine board - SharePoint

1/26/2010

Initial Steps: -Select the appropriately
sized cervical collar.
-BSI
-Manual and inline -Apply the appropriately
immobilization of the sized cervical collar.
head and neck.
-Initial PMS/CMS check. - Using assistance, log roll the
patient onto the back board
- Before log rolling without compromising the
the patient be sure to integrity of the spine.
check the back and - Use the scissor technique to
spine for injury. center the patient on the
board.
- Organize your - Be sure to pad any voids
spider straps and between the patient and the
get them ready to board (ie. behind the neck and
put on the patient. lower back)

- Start with the shoulder
straps.
Note: make sure the straps
hug the shoulders and don’t
stretch too far up on the
board.

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1/26/2010

- Second, tighten down the - Third, secure the upper
feet. strap across the costal arch.
Note: ensure that the center
line is taught and not Note: have the patient
twisted. breath in then exhale. Before
the patient completely
- Next, secure the pelvic exhales tighten your strap.
strap. The idea behind this is to
Note: be sure the strap keep the patient tightly
lays across the iliac crest. secured but also allow them
adequate chest rise and fall.
- Using a strip of duct
tape, secure the - Secure the final strap mid-
patients legs to the femur on your patient.
board.
- If the Bottom Strap Note: only after this final
only reached to the strap is secured is your
patients shins, secure torso immobilized to the
the feet together with board.
duct tape.
-Next, take over c-spine from
the front so that your partner
can place head blocks tightly
around the patients head.

Note: only release manual
immobilization of the head
after you partner tells you that
he/she has c-spine.

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1/26/2010

-Using duct tape, secure the -Place a second piece of
top section of the blocks to the duct tape across the
board. patient’s chin.

Note: be sure the tape is -Ask the patient to hug
attached to the board on both their chest and this will
ends to create a tight fit. count as securing the
It is ok to lift the board slightly hands.
to ensure that the tape sticks
to the board and not the -Recheck your PMS/CMS
ground.

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