Spinal Injury

Written by Matt Young

Table of Contents

Suspect spinal injury when the patron has been exposed to significant physical force, such as a car accident, diving head first into the shallow end of the pool or a fall from greater than the person's height.

Primary Goal: keep person still in order to prevent further injury

Do not move patron if he or she is in a safe place.

SIGNS AND SYMPTOMS

  • Altered mental status
  • Obvious injury to head, neck or back
  • Numbness, tingling, burning or loss of sensation in hands, fingers or toes
  • Spinal pain, pressure, tenderness
  • Multiple injuries such as open or closed fractures
  • Weakness or paralysis in any part of the body
  • Loss of bladder or bowel control

FIRST AID

  1. Assess, Alert, and Attend to life-threatening injuries
  2. If patron is responsive, tell him/ her not to move
  3. Manually stabilize by putting hands on both sides of the patrons head
  4. Comfort, calm and reassure the patron
  5. Do not move or ask the the patron to move in order to “See what hurts”
  6. Do not bend, manipulate, twist, or lift patron’s head or body
  7. Do not remove a helmet if spinal injury is suspected

If the patron is unresponsive, is lying flat on his/ her back, and has debris/ blood/ secretions in his or her mouth or you must leave the patron to go get help, put the patient in recovery position.