So medicine keeps changing. I wrote some articles that need some up dating.
Tourniquets have improved since I wrote my article on them. They have gotten cheaper and easier to use. Like soldier proof easy. Anything you can do to save time and simplify your application of a tourniquet is going to help.
Information about these tourniquets can be found here
Now the Cervical Spine Precautions.
The freaking Canadians came up with what are called the NEXUS protocals.
If you can answer NO to ALL of the following then you can rule out C-Spine Imobilzation.
Are there an Focal Neurological Deficits? (Meaning any loss of sensation, numbness or tingling.)
Is there any midline spinal tenderness present? (you have to touch down the spine)
Is there altered level of consciousness present? (is the patient awake and alert and able to answer questions appropriately)
Are they sober? (includes drugs and alcohol)
Are there any distracting injuries? (Any other injuries such as a broken arm or leg)
If you answer YES to any of the above continue to treat them as if they have a spinal injury. If not then you can clinically clear them of possible spinal injury.
Spine Board Imobilization.
Long Spine Boards are on the way out. They are good for extracting temporarily from hostile situations or from vechicals. They are not the prefered method for long transports. For this they suggested molded or air mattress padding be used to help with breathing and pain and the use of soft litters such as a SKED. So those Termarest matress pads you have… Those can be useful.
Links to the appropriate Articles are below.
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