Spinal Trauma & Concussion Flashcards
General on-field ax and intervention for spinal trauma
Move the athlete out of the field one step at a time and verify status at each position change,
Perform focused spinal assessment on the sideline
cervical collar measurement and application
spinal bording immobilization
Hands:
- Holdbandagewithhands/forearmscrossed
- Uncrosshandstoform2circles
- Bringthebackcircletothefront,putthe2circles together
- Putonept’shandin,thentheotherontop
- Tighten(makeasquareknotifunabletotighten
enough)
Feet:
• Startwithbandagepostleg
• Crossitantleg
• Passitaroundfeet(plantarsurface) • Tieasquareknot
supine boarding - 8 person log roll
supine boarding - 5 person log roll
supine boarding - 8 person lift
supine boarding - 5 person straddle-life
prone boarding - 4 person log roll
- Realignment of limbs (if possible) – Stab scap for arm & pelvis for legs
- Fig 8 at feet (if possible)
- Place board approx one arm width to the person
- Team (3 people on the board)
– Charge person at head
- Other Half-kneeling & Crossed hands – Sh/hips below
– Hips above/ knees below
– Knees above/ feet
- Charge person: “1, 2, 3 roll”, “pause” (athlete’s head should be neutral by then), then “1, 2, 3, down”
- Reposition the athlete as needed
- Cx collar
seated boarding - 3 person take-down
- Chargepersonstabheadfrombehind,halfkneeling
- AnotherputCxcollar
• 2people
– Each side of athlete
– Support under arm and torso
- Chargeperson:“1,2,3,down”
- Athleteisloweredtosupinetotheground(orboard
depending on situation)
- Supinelogrollorsupinelifttechnique(willneed other assistants)
- Repositionasneeded
standing - 3 person take-down
2 types of repositioning on board
spinal board padding and head immobilization
pupils assessment
cranial nerves exam
concussion CRT
on-field designed for coaches, parents, teammates (see notes)
McGill ACE
sideline
