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When faced with a patient you suspect has sustained a spinal injury, such as a fall from a tree, especially when you are alone, it's crucial to take immediate steps to ensure their safety while obtaining help.
The challenge lies in the balance between seeking assistance and safeguarding the patient. Leaving them on their back could pose risks of choking if they vomit, yet moving them might exacerbate their injury.
If there are multiple responders or bystanders, you can assign someone to fetch help or utilize additional hands to safely execute a log roll—a technique to turn the patient without spinal twisting.
The recovery position is a viable solution. Contrary to common misconception, when executed slowly and carefully, it allows you to turn someone onto their side without risking spinal damage. It's advisable to practice this skill several times to ensure proficiency.
Once repositioned, promptly check for signs of breathing and ensure their airway remains unobstructed. Maintain communication with the unconscious patient, as they may still hear you, providing a source of reassurance. Afterward, proceed to seek assistance.
The recovery position offers protection against choking in case of vomiting, as the patient's airway remains clear. During your absence, if they vomit, they will remain in this safe position.
Upon your return, reevaluate their breathing status and ensure they stay warm by covering them with a blanket. Maintain a reassuring presence until professional help arrives. When reporting to emergency medical services (EMS), provide a comprehensive account of the situation, including observed signs and any symptoms the conscious patient communicated.
