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COUNTY OF SACRAMENTO EMERGENCY MEDICAL SERVICES AGENCYDocument #8044.13PROGRAM DOCUMENT:Draft Date:06/01/92Effective:05/01/16Revised:01/20/16Review:03/01/18Selective Spinal Immobilization EMS Medical
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How to fill out selective spinal immobilization

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How to fill out selective spinal immobilization

01
To fill out selective spinal immobilization, follow these steps:
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Begin by assessing the patient for any signs or symptoms of spine injury, such as pain, numbness, or loss of movement.
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If there is a suspicion of spine injury, stabilize the patient's head and neck in a neutral position using manual immobilization techniques.
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Assess the patient's vital signs and perform a thorough physical examination to identify any other potential injuries.
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Follow the specific protocols and guidelines provided by your healthcare organization or local EMS agency for selective spinal immobilization.
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Place the patient on a long spine board or other immobilization device, making sure to maintain alignment of the head, neck, and spine.
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Secure the patient to the spine board using straps or other restraints, ensuring that they are snug but not too tight that they restrict breathing or circulation.
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Continuously monitor the patient's vital signs and reassess their condition during transport to medical facility.
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Follow the appropriate medical facility's protocol for removing the spinal immobilization once the patient arrives for further evaluation and treatment.

Who needs selective spinal immobilization?

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Selective spinal immobilization is typically indicated for individuals who are at risk of spine injury, such as:
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- Patients involved in high-impact trauma, such as motor vehicle accidents or falls from significant heights.
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- Patients with significant mechanisms of injury that may result in spine trauma, including direct blows or penetrating injuries to the head, neck, or torso.
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- Patients who exhibit signs or symptoms of spine injury, such as severe neck or back pain, weakness, numbness, or paralysis.
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- Patients with altered mental status or loss of consciousness following an injury.
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- Individuals with underlying medical conditions or factors that increase their vulnerability to spine injury.
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It is important to note that the decision to perform selective spinal immobilization should be made based on clinical judgment and in accordance with local protocols and guidelines.
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Selective spinal immobilization is a medical practice used to stabilize the spine and prevent further injury in patients suspected of having spinal injuries while allowing for the assessment and treatment of other injuries.
Healthcare professionals, such as paramedics and emergency medical technicians, are required to file selective spinal immobilization when they suspect a patient has a spinal injury.
To fill out selective spinal immobilization, healthcare providers must document their assessment findings, the criteria used for determining the need for immobilization, and the steps taken to immobilize the patient.
The purpose of selective spinal immobilization is to protect the spinal column from further injury and to ensure the safe transportation of patients with suspected spinal injuries.
Information that must be reported includes patient identification, mechanism of injury, clinical assessment findings, criteria for immobilization, and the device or technique used for immobilization.
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