Procedures

Question 1

When are backboards indicated?

Answer 1

Extrication/patient movement

Question 2

Cervical stabilization is indicated in any patient who meets:

Answer 2

W/ potential for spinal injury based on:
Midline cervical spinal tenderness
Focal neurologic deficit
AMS
Evidence of drug and/or alcohol intoxication
Any painful, distracting injury

Question 3

Cervical stabilization contraindications

Answer 3

1. Penetrating trauma to the head and/or neck and no evidence of spinal injury
2. Injuries where the placement of the collar might compromise pt assessment, airway management, ventilation and/or hemorrhage control
3. Cardiac arrest

Question 4

What is cervical stabilization?

Answer 4

Placement of an approved, properly-sized cervical collar before patient is moved

Question 5

How are patients removed from vehicles if they can exit on their own?

Answer 5

Assisted to a soft stretcher and secured for transport.

Question 6

How are patients removed from vehicles if they cannot self-extricate?

Answer 6

Removed w/ appropriate extrication method

Question 7

T/F. Pediatric patients may be stabilized in an approved car seat or with a commercial pediatric stabilization device.

Answer 7

True

Question 8

T/F. If a backboard is used for extrication or movement, the patient should be immediately moved to a soft mattress.

Answer 8

True

Question 9

T/F. Tape, head straps, wedges, and head and/or neck support devices are recommended.

Answer 9

False

Question 10

What is a junctional hemorrhage?

Answer 10

Hemorrhage occurring at the junction of an extremity with the torso, and/or base of the neck

Question 11

Absolute contraindication for junction hemorrhage

Answer 11

Hemostatic gauze use on hemorrhaging abdominal wounds

Question 12

How to control junctional hemorrhage?

Answer 12

Use direct pressure and an appropriate pressure dressing with deep wound packing (either plain gauze or hemostatic gauze)

Question 13

Absolute contraindication for extremity hemorrhage

Answer 13

Bleeding has stopped

Question 14

Traction Splint key procedural considerations

Answer 14

Assess CMS
Apply traction splint per manufacturer’s guidelines
Initiate mechanical traction to match manual traction
Reassess CMS
Exercise care when applying traction not to reintroduce bone ends in the body

Question 15

Indications for traction splint

Answer 15

Isolated MIDSHAFT femur fx

Question 16

Contraindications for traction splint

Answer 16

a. pelvic fx or instability
b. knee, lower leg, or ankle instability