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EMR
EMT
AEMT
Paramedic
Extended
Spine Motion Restriction
Steps
Performed?
Yes No
1.
Gather cot and c-collar appropriate for patient’s size
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2.
Explain the procedure to the patient and that their movement could affect their
condition
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3.
Place the patient in an appropriately sized c-collar while maintaining in-line
stabilization of the c-spine. This stabilization to be provided by a second rescuer,
should not involve retraction or tension, but rather simply maintaining the head in a
neutral, midline position, while the first rescuer applies the collar.
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4.
Once the collar is secure, re-emphasize that the patient needs to maintain a neutral
position of their head and neck as they are moved and positioned to the cot.
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5.
Place or have the patient move themselves onto the cot in a position of comfort,
preferably supine but fowler’s/semifowler’s is acceptable (any patient with a history of
car sickness should be transported fowler’s/semifowler’s). Utilize the safest method to
get them on the cot as possible. Note: do not force a patient into a non-neutral position
to immobilize them; a patient’s anatomy should be taken into account.
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6.
Prophylactic Zofran if car sickness is a problem.
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7.
Secure the patient to the cot utilizing all straps per the manufacturer’s recommendation.
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8.
Document the time of the procedure in the patient care report.
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Spine Motion Restriction