How to immobilize a patient
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Is there any indication of spinal injury? (paralysis, focal neurologic deficit)
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YES
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Fully immobilize with backboard, c-collar, and CIDs
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NO
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Is the patient unable to follow commands AND intoxicated, combative, or confused?
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YES
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Fully immobilize with backboard and CIDs
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NO
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Is the pt alert with any of the following:
*neck pain, midline neck or spinal tenderness
*pain on motion of the neck
*older than 65 or younger than 8
*high risk mechnism (high speed MVA, fall greater than 10ft, etc)
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YES
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Place c-collar and move pt in-line to cot. Ambulatory pts may walk to cot and assisted onto cot as an in-line unit.
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NO
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Does the pt have penetrating trauma to the torso or neck AND neurological signs or paralysis?
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YES
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Fully immobilize with backboard, c-collar, and CIDs
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NO
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Apparently the pt does not need immobilized
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Blunt Trauma Backboard Policy
