BACKBOARD “MAY BE” USED FOR
BARIATRIC OR HARD TO MOVE PATIENT EXTRICATION NEUROLOGICAL COMPLAINT OF NUMBNESS OR WEAKNESS ANATOMIC DEFORMITY OF THE SPINE BLUNT TRAUMA WITH ALTERED LOC HIGH ENERGY MECHANISM PLUS: -DRUGS OR ALCOHOL -INABILITY TO COMMUNICATE -DISTRACTING INJURY USE A BACK RAFT FOR COMFORT
MOVEMENT WITHOUT BACKBOARD
LOG ROLL OR LIFT AND SLIDE
HEAD OF GURNEY MAY BE ELEVATED
CONSIDER C COLLAR FOR MAJOR TRAUMA
HIGH SPEED MVA FALL FROM >10" AXIAL LOADING INJURY (SHALLOW DIVE) COMOTOSE IF TRAUMA IS SUSPECTED USE TOWEL ROLLS TO FILL VOID SPACES
REGARDLESS, NO C COLLAR NEEDED IF ALL MET (8 OR OLDER)
NO MIDLINE SPINAL TENDERNESS NO NEUROLOGICAL COMPLAINT (NUMBNESS, WEAKNESS, TINGLING) NO EVIDENCE OF INTOXICATION NO ALTERED LOC NO DISTRACTING INJURY
AVOID C COLLAR IF
PX IS VOMITTING
COMBATIVE PX
ISOLATED PENETRATING TRAUMA
NO MORE STANDING TAKE DOWNS
NOTE
REMOVE COLLAR FOR ADVANCED AIRWAY
MANUALLY MAINTAIN HEAD
REPLACE WHEN DONE
PATIENT <8
USE JUDGEMENT
WHEN IN DOUBT, IMMOBILIZE
MAY USE CAR SEAT (ADD C COLLAR)
PADDING UNDER BODY HELPS CORRECT FOR LARGER OCCIPUT
PATIENT >65
ELDERLY PEOPLE WITH MINOR TRAUMA (GROUND LEVEL FALL)
WHEN IN DOUBT, IMMOBILIZE
USE PADDING AS NEEDED TO FILL VOID SPOTS (KYPHOSIS, LORDOSIS)