Falls From Height And Spinal Injuries

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Welcome to this edition of the First Aid Show! Today, we explore the critical topic of spinal injuries resulting from falls, including common scenarios and first responder actions.

Recognising Spinal Injury Risks:
High-Risk Falls: Whether it's falling from a significant height, tumbling down stairs, or being ejected from a vehicle or horse, these situations may cause spinal injuries.
Immediate Actions: Upon suspecting a spinal injury, it’s crucial to minimize movement to preserve spinal integrity. Emergency services will instruct you not to move the patient unless absolutely necessary.

Emergency Intervention:
CPR vs. Spinal Safety: If a patient stops breathing, you may need to perform CPR. This might involve carefully rolling the patient to ensure they can receive life-saving treatment, even if it risks further spinal injury.
Maintaining Alignment: Keeping the patient in a neutral alignment is vital to protect the spine until emergency services arrive equipped with the right tools for safe immobilization.

Role of Bystanders:
Assisting in Emergencies: Bystanders might need to help maintain the patient's alignment or assist in CPR if professional help has not yet arrived.
Dealing with Helmets and Breathing: If a patient wearing a helmet stops breathing, carefully removing the helmet to open the airway is necessary, despite concerns about potential spinal injuries.

Looking Ahead:
Changing Protocols: Future guidelines may emphasize the importance of ensuring an open airway in trauma situations, even when there are concerns about spinal injuries.

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