EHS 1040 Lecture Notes - Lecture 3: George Washington University, Emergency Health Services, Penetrating Trauma

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*pediatric patients: consider taking to pediatric trauma center. Remember: risk factors place some patients at a higher risk for spinal injury, such as: age ( 65 y. o. , osteoporosis. Ehs 1041 lab: metastatic spinal disease, previous spinal injury/damage, rheumatoid arthritis, long-term steroid use, combative patients. If no high-risk criteria are present but the patient does not meet low risk criteria and/or fails to complete the cervical spine clearance protocol, consider the use of c-collar only. Patient should be removed from rigid devices prior to transport when conditions safely permit: patient should be transported supine directly on cot at 30 head of bed incline without the use of long spine board. If a patient with extreme spinal curvature is requiring long board immobilization, consider utilizing a c- Collar only along with improvised inline support (blankets and padding void spaces) to reduce the potential of creating additional harm.

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