Spinal management

Question 1

What to keep in mind when doing grip?

Answer 1

Tuck in elbows

Question 2

What to keep in mind when doing MOVEMENT grip?

Answer 2

Elbows stable on knees

Question 3

What to do for C-Collar application?

One thing to take note of

Answer 3

Remove patient’s clothes + ID tag

ENSAPA

• Explain
• Neutralise
• Size
• Adjust
• Preform (Sushi)
• Apply

Slot slowly to avoid excessive movement of head

Question 4

Commands when neutralising

Answer 4

Tilt (nod), Rotate (shake head), Shift (Cute)

Question 5

What to look for when neutralising?

Answer 5

Bottom of lips aligned and perpendicular to bottom of earlobe

Question 6

How to size C-collar?

Answer 6

Shoulder to jaw using X no. of fingers

Question 7

How to adjust C-collar?

Answer 7

X no. of fingers from black line covering measurement thingy
[Rmb to unlock two things, and rmb adjust both sides]

Question 8

What to look out for when applying C-collar?

Answer 8

For application, 4 finger in 1 thumb technique to close C-collar

1. Dot at chin, dot at sternum (Take out and adjust)
2. Pull dot at sternum to check tightness
3. 1 finger spacing max near neck area
4. Ears not covered
5. Attached to shoulders

Question 9

3 things to note about communication

Answer 9

1. Medic near head always do timings
2. When want to change, say “Awkward, awkward.”
3. Whenever changing grip, new grip guy say “Stable to unstable, I’m in control” Release grip guy say “Letting go”

Question 10

2 things to note for bulldozing

Answer 10

1. Always do a trapezius grip first

2. Medic near head needs to adjust head as bulldoze happens

Question 11

For prone, what to keep in mind when rotating body on board?

Answer 11

Medic near head go from awkward to non-awkward.

Position modified trapezius grip with body aligned to spinal board