11 back and neck injuries
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This document provides information on treating spinal injuries in conscious and unconscious casualties. For conscious casualties, do not move them from the position found, reassure them, and support the head in a neutral position until help arrives. For unconscious casualties, keep them still in the position found, hold the head still, and if the airway may be blocked, place them in the recovery position using a log roll. The golden rule is to not move the casualty unless absolutely necessary to prevent further injury to the spine or spinal cord until they can be urgently taken to the hospital.
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11 back and neck injuries
- 1. Emergency First Aid for Children 11. Back and Neck Injuries
- 3. Spinal Injuries Signs and symptoms Suspect a spinal injury if a person: Has suffered a significant impact/fall Is unconscious after head injury Has fallen from a height and injured their face or head Says their neck hurts Holds their neck in an odd position Pages 48-49
- 4. Spinal Injuries Signs and symptoms contd Has any paralysis, loss of sensation or numbness in their arms and/or legs Is confused or uncooperative Has lost bowel and bladder control Has difficulty breathing, with only small movement of the abdomen Is lying on their back with arms stretched above their head, or with arms and hands curled to the chest Pages 48-49
- 5. Spinal Injuries Conscious Casualty Aims Prevent further injury Arrange urgent removal to hospital Pages 48-49
- 6. Spinal Injuries Conscious Casualty Treatment DO NOT MOVE the casualty from the position found (unless in danger or becomes unconscious) Reassure casualty and tell them not to move Steady and support the head in the neutral position Pages 48-49
- 7. Spinal Injuries Conscious Casualty Treatment contd Keep the casualtys head supported at this position until help arrives Get a helper to arrange extra support (e.g. rolled towels or blankets), around the casualtys neck and shoulders and either side of the body continue to keep the casualtys head steady. Pages 48-49
- 8. Spinal Injuries Unconscious Casualty Aims Resuscitate the casualty if necessary Maintain an open airway Prevent further damage to spine or spinal cord Arrange urgent removal to hospital Pages 48-49
- 9. Spinal Injuries Unconscious Casualty Treatment Keep casualty still in the position they were found Hold head still If the casualty is already on their back, airway clear with no signs of bleeding or vomiting, keep them in that position Pages 48-49
- 10. Spinal Injuries Unconscious Casualty Treatment contd If risk of airway being blocked place in recovery position using log roll Pages 48-49
- 11. Spinal Injuries REMEMBER GOLDEN RULE Casualty must not be moved unless it is vital to do so Pages 48-49
- 12. Emergency First Aid for Children End of Section