Practical Exam question...

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tnye92

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For our practical we do three stations and he told us for our trauma patient that he will be sitting in a chair....my question is what do you think is the best way of getting him onto the long board while also protecting c-spine...we have 10 minutes to complete everything...thanks for anyone who posts a suggestion :)
 
Yeah I was going to suggest a KED as well. If its a "MVA" then have your partner hold c spine whild you apply the KED. Lift and put on backboard, but only after that head is stabilized.
 
Literally just finished my KED skill test two days ago, they're pretty easy once you get the knack of getting the wings right up in the armpit so they don't slide around. Ours had handles on the sides specifically for lifting over to settle them down on a longboard.

The other way we were taught, easier for non-MVA settings and more applicable to your station, is to rotate the person on the chair to line up with the foot of the longboard which is pushed under their butt and then slowly laying them down and strapping them in normally.
 
yeah I'm almost positive it's non-mva but then again I don't know cause they only gave us the sitting in a chair hint. We were taught about KEDs and I've seen one we just never practiced using them. The only thing with that is I'll have to do a rapid trauma assessment so I would have to assess the chest area and do lung sounds while he is sitting in the chair...in our skills we were always taught if he isn't laying down supine we should get him on the long board right after abc's and all life threats are treated, but idk maybe they were just trying to get us in the habit of having a set routine.
 
As I was taught, KED is the way to get the person down from sitting to supine on the longboard if at all possible, much less risk of tweaking the spine. Don't forget directing your partner to maintain cervical alignment throughout the entire process, and don't forget to pad behind the head before taping it down to maintain alignment. And don't forget CSM before cervical collar and then at the end after transfer to longboard.

Just don't do like I did before correcting myself during the test, all those buckles... go on the OUTSIDE =P My poor victim.

We were also taught the buckles were done in sequence: middle (torso) -> bottom (torso) -> leg straps -> head -> top (torso) (My Baby Looks Hot Tonight mnemonic). It's shown differently in the book so it may be a SoCal protocol.
 
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