Supine Immobilization

Resources Required:

1. Cervical Spine Immobilization Collar (C.S.I.C.)
2. Three Straps
   • Two nine-foot straps
   • One six-foot strap
3. Headbed (Mark II)
4. Two Rescuers

• Measure and apply collar
• On head (wo)man's count, logroll patient to lateral recumbent position (sidelying)
• Have partner slide board onto patient's back while patient is still sidelying
  Note: guideline for board placement -- ears should be aligned between first two horiztonal openings in the long board
• Roll patient back to supine position
  Note: if patient needs to be adjusted, this must be performed by two rescuers. Why? So that the patient moves as one unit.
  
  Explanation: one rescuer grasps the shoulders, the other grasps the hips and client is moved on a three-count.
• Apply straps
  
  1. Straps start with button facing down
  2. Loop each strap through vertical openings along the side of the board
  3. Pull each strap across the patient
  4. When all straps have been looped and pulled across, move to other side of board
  5. Close buckle for each strap
     
     Application Guidelines
     • Chest: Buckle off to the side of patient in case of need for CPR
     • Hips: Straps around bony parts of pelvis (iliac crest)
     • Legs: Straps proximal to the knees
     • Head: At forehead [if incorrect, please advise in journal comments]
• Apply headbed
• Test P.M.S. for extremities
• Note: if patient is unconscious, secure patient's arms at their sides while securing the hips

Note: as per NYS DOH requirements, candidates must fulfill the following requirements:

• Not release or order release of manual immobilization before it was maintained mechanically
• Ensure that patient was not manipulated or moved excessively to cause potential spinal compromise
• Patient was well-secured, thus obviating risk of spinal compromise
• Head immobilization does not allow for excessive movement
• Upon completion of immobilization, head is in the neutral position
• Immobilized the torso before the head
  Note: This was contradicted by instructor during practical session
• Complete the station within a 10 minute time limit.