Download - SPM 100 Clinical Skills Lab 4
SPM 100 Clinical Skills Lab 4
C-Spine Immobilization,Hemorrhage Control and
Simple Splinting Extremities
Daryl P. Lofaso, M.Ed, RRT
Blunt TraumaAcceleration –
Deceleration MVC Falls Altercations
Penetrating Trauma
GSW
Stabs
Most Common Cervical Injuries
Adult: C5 – C6
Child: C2 - C3
Brain Injuries:
Direct Injuries: MVC (Windshield) Blunt Head Trauma (Stick, Bat)
Indirect Injuries: Airway (Obstruction) Decrease in perfusion
(Hypotension)
Spinal Cord Injuries
Paraplegia – paralysis of both legs
Quadriplegia – paralysis of both arms & legs
Hemiplegia – paralysis of arm and leg on the same side
Spinal Cord Injury Statistics 11,000 Americans suffer a
traumatic spinal cord injury
56% are between the ages of 16 and 30 (average age: 31)
82% male and 18% female
Common Causes of Spinal Cord Injuries
MVC – 42.9% (Most common) Falls – 20.9% Violence-related – 17.8% Sports-related – 10.4% Other – 7.9%
Hemorrhage Control
Direct Pressure Elevation Pressure Point Tourniquet (rarely used)
Class of Hemorrhage
Types of Splints
Rigid Board Padded Board Air-Inflated Traction
Assessment Post Splint Placement
Pain Numbness or tingling in hand or
foot Fingers or toes are cool to
touch,change in color
Loss of movement in fingers or toes
Types of Fractures: Closed fracture Open Fracture Comminuted Fracture Avulsion Fracture Greenstick Fracture Torus Fracture
Professional Conduct Introduce yourself Explain the procedure /
examination to the patient Ask the patient if they have any
questions Cover the patient with a sheet.
Only expose area examining while performing a procedure/examination