Spinal Motion Restriction

Question 1

What does SMR stand for?

Answer 1

Spinal Motion Restriction

Question 2

What is involved in SMR?

Answer 2

SMR involves maintaining a neutral in-line position of the spine at all times during patient treatment and transport. SMR requires the patient’s head, neck and torso to be appropriately stabilized. This can be achieved manually or with the use of commercially available equipment.

Question 3

Does a cervical collar alone does provide adequate Spinal Motion Restriction (SMR)?

Answer 3

No, a cervical collar alone does not provide adequate SMR. To provide appropriate SMR, the patient must be maintained in a neutral in-line position during movement and while on the stretcher.

Question 4

When should a backboard be used?

Answer 4

Backboards should only be used for the purposes of extrication from the scene (e.g., if the person is in the water) to the ambulance as evidence has shown that backboards are not beneficial for spinal cord injuries and have been shown to cause harm.

Question 5

If a victim with a suspected spinal injury is wearing a helmet, do you remove the helmet?

Answer 5

It is essential when treating neck injuries to maintain an open airway. If the person is wearing a helmet, do not remove it unless you have been trained to do so and have appropriate resources, or unless it is necessary to access and assess the airway.