Skill 1 - The Primary Survey

[@OGTabo0]

The paramedic didn’t assess for spine injury before choosing the chin lift. If this person had fallen from a ladder I probably would have chosen a jaw drop.

[@kpax45]

I would assume in this scenario she knew that Spinal Motion Restriction was not required

[@zapdosxy1781]

Because in this scenario there was no ladder nearby

[@scottk6659]

@@kpax45 ASS ume. She is instructing. She should be demonstrating properly. Or someone could follow her bad moves

[@scottk6659]

@@zapdosxy1781 ladders arw not the only way to injure the neck or spine

[@adambailey994]

Interesting how different surveys are around the world. In the UK we would check the airway for foreign bodies before doing a head tilt chin lift. We would also not put our hand under the neck incase of C spine injuries. Also interesting that a jaw thrust is not mentioned in this also. Dangers were not mentioned and catastrophic haemorrhage was not mentioned either. In the UK thats a fail in an assessment :)

[@focusmicro]

I would feel back of neck for potential c-spine abnormality's.

[@HaqqDealer0]

I would assume C-Spine anyway, stabilize and jaw thrust. The real scary thing is this is not even that old of a video.

[@ManiacDoofus_]

Yeah! I was thinking what about c-spine? how did the patient get to the ground? lol

[@zapdosxy1781]

Because its for casual audiences, so it didn't went too technical

[@markg.sabangan9675]

This could save me from my requirements
Thank you☺️

[@realresponse]

you are welcome

[@truthhitman7473]

WRONG !

[@scottk6659]

Seriously, I have almost no qualifications BUT know enough to check for spinal injury PRIOR to any movement of the patient.

[@erinwashere3757]

And how do you check for a spinal injury in an unresponsive patient? Unless there is witness report of a mechanism there's really no other way to assess. Airway, breathing and circulation are always priority as well.

[@scottk6659]

@@erinwashere3757 yes of course ABC first.
But I was taught in basic FA to at least run your hand along the spine to see if you notice and anomalies before moving them.

[@erinwashere3757]

@@scottk6659 you can do that - you may not be able to detect much though. C-Spine injuries are the main ones we keep an eye out for and they often require us to palpate middle of the neck to see if it causes any pain to the patient. We also look for changes in neurological status such as numbness and tingling, altered sensations, weakness, photosensitivity etc. these all require the patient to be conscious. Also if you’re alone you won’t be able to assess their spine without causing more damage. Tyis all really depends on tye circumstances but spinal precautions do not matter as much in a cardiac arrest