Spinal Injury

Video Transcript
If you suspect somebody of having a spinal injury it is important to firstly look for any signs of trauma.

If possible ask the casualty if there is any pain or if they can move their limbs.
Another sign is that there may be tingling in the hands and the feet.

You need to support the neck and the head of the casualty and ensure that this is not moved.

If the casualty is unconscious and needs cpr this takes precedence over any spinal injuries.

Treating a Suspected Spinal Injury: A First Aid Guide

A suspected spinal injury demands immediate, cautious action to prevent paralysis or life-threatening complications. Here’s how to respond effectively:

  1. Assess the Scene
    Ensure the area is safe for both you and the victim. Avoid moving the person unless there’s imminent danger (e.g., fire, traffic). Sudden movement risks worsening spinal damage.
  2. Recognize Signs of Spinal Injury
    Look for symptoms such as neck/back pain, numbness, inability to move limbs, or loss of bladder/bowel control. Suspect spinal trauma after incidents like falls, collisions, or diving accidents.
  3. Immobilize the Head and Neck
    Kneel behind the victim’s head. Place your hands on both sides of their head, gently holding it in a neutral position. Avoid tilting or rotating. Use rolled towels, clothing, or commercial collars to stabilize if available.
  4. Manage the Airway Carefully
    If the person is unconscious and breathing is compromised, use the jaw-thrust maneuver: Lift the jaw upward without tilting the head. Avoid the head-tilt chin-lift, which could displace the spine.
  5. Call Emergency Services
    Dial for professional help immediately. Specify the suspected spinal injury to ensure responders bring appropriate equipment (e.g., backboard, cervical collar).
  6. Monitor and Reassure
    Keep the person calm and still. Continually check breathing and consciousness. If vomiting occurs, log-rollthem onto their side with assistance, keeping the head, neck, and spine aligned.
  7. Do NOT Remove Helmets
    Leave motorcycle or sports helmets in place unless they obstruct breathing or CPR access. Removal risks spinal twisting—let professionals handle it.
  8. Avoid Unnecessary Actions
    Refrain from giving food, drink, or medication. Do not attempt to “test” movement or sensation.
  9. If Movement is Unavoidable
    Only move the victim if danger is imminent. Use the log-roll technique with multiple helpers, ensuring synchronized support of the head, neck, and torso.

Final Notes
Spinal injuries require expert care. First aiders should prioritize stabilization over intervention. Regular training in immobilization techniques and CPR (adapted for spinal precautions) is crucial. Your calm, informed response can save a life and prevent lifelong disability.

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