Something I have noticed over the past decade is that EMT's are no longer being taught the basics of splinting.
Now, to really think about what splinting is really about and how to reach that objective. When one splints all one is doing to attempting to ensure little movement to occur, and as well circulation is not impaired. Many assume one has to be splinted in the traditional method of laying supine with a cervical collar, LSB, etc...
Geriatric patients can be challenging especially if they have kyphosis (curvature of the neck and spine) and if there is any disorientation of mental status albeit head injury or normal senility.
I challenge my students to immobilize any body part and in any position that is able to be placed onto a stretcher and into the EMS unit. Amazing what one can do!
For example many of the patients prefer to lay onto their side, No problem, place padding to fit the curvatures and gap with blankets, towels, and of course padding if possible of padding at bony prominences and pressure areas.
I especially prefer lateral immobilization for those that have a history of nausea, it is much easier to maintain an airway.
Again, review immobilization and have fellow crew members attempt to immobilize awkward positions. I personally attempt to carry several blankets and towels, pillows on my rig, for just in case.
As well, anytime a patient is onto a LSB for real immobilization purposes, there should never be gaps between straps and the patient (lateral sides) blankets rolled length way can fill that space and one placed between the legs when strapped down will secure the patient from "shifting" on those curves, and stopping and accelerating.
Practice makes perfect .. ave fun !
R/r 911
