Spinal Motion Restriction Standard (SMR) Flashcards

1
Q

Consider SMR for ANY pt with a _______ ______ or ______ ______ ______ based on MOI…..

A

potential spine or spinal cord injury based on MOI

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2
Q

What MOI’s require SMR (9 diff ones)

A

any trauma associated with neck or back pain

sports accidents (impaction and falls)

diving incidents and submersion injuries

explosions, other types of forceful acceleration/deceleration injuries

falls

pedestrians struck

electrocution

lightning strikes or

penetrating trauma to the head, neck or torso

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3
Q

Determine if pt meets ANY risk criteria as follows:

A

neck or back pain
spine tenderness
neurologic s/s
altered LOC
suspected drug or alcohol intoxication
a distracting injury
anatomic deformity of the spine
high energy mechanism of injury
- fall from elevation higher than 3 feet/5 stairs
- axil loading to the head
- high speed motor vehicle collisions (>100km)
- hit by a bus or large truck
- motorized/ ATV recreational vehicles collision
- bicyclist struck collision or
- >=65 yrs old fall from STANDING!!

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4
Q

Spinal and extrication boards should primarily be used as _____________/_____________ devices

A

EXTRICATION & LIFTING

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5
Q

Pt’s with SMR can be placed in what position on the stretcher?

A

Semi-sitting or supine

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6
Q

C- Collars should be placed on pt prior to movement, true or false?

A

TRUE

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7
Q

When can spinal boards or adjustable break away stretchers remain in place?

A

If the paramedic deems it safer/more comfortable for the pt and the hospital is less than 30 minutes away!

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8
Q

When can a pt stand and pivot out of a car with applied SMR?

A

pt in a vehicle with an isolated neck injury or back pain and no neurological s/s or s/s of significant trauma

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9
Q

If a pt has penetrating trauma to the HEAD NECK OR TORSO AND the pt has NO…. (6 things list them off) then do not apply SMR !!!

A

NO spine tenderness
NO neurological s/s
NO altered LOC
NO evidence of drug or alcohol intoxication
NO distracting distracting injury and
NO anatomic deformity of the spine

do not apply SMR

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10
Q

Does applying SMR mean that the paramedic has “CLEARED the spine” for blunt trauma patients??

A

NOPE, using SMR does not mean the paramedic has “cleared” the spine for blunt trauma patients. the paramedic must at all times manage the patient to minimize spinal movement.

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11
Q

Spinal boards or breakaway stretchers may remain in place if the paramedic deems it more ______ / ______ for the patient and the transport time is <30mins!!

A

safer and more comfortable

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12
Q

When would you leave a pt on the extrication device??

A

PELVIC#’s

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13
Q

If a patient is already on the spinal board prior to EMS arrival what should we do as paramedics arrivng on scene?

A

Assess for SMR as per the standard, unless otherwise required, SMR may be modified to meet this standard.

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14
Q

If you have a combative patient and they take the collar off what do we do??

A

DOCUMENT!!!

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