Which is the priority nursing action for a patient with a cervical spine injury?

Digital Edition: The management of patients with spinal cord injury

16 December, 2003

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• Digital Edition: The management of patients with spinal cord injury
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• Signs and symptoms
• Managing a spinal injury
• Unconscious patient/s
• Conscious patient
• Where to get help
• This information provided by
• What is the main priority in treating a casualty with a suspected cervical spine injury?
• What is the nursing management of spinal cord injury?
• Which are the most important things to assess regarding a cervical injury?
• Which nursing action is a priority for a client with a spinal cord injury who has developed sudden autonomic dysreflexia?

Spinal cord injury can affect people of all ages but, statistically, the 15 to 35-year-old age group is the most vulnerable (Desjardins, 2002).

Abstract
VOL: 99, ISSUE: 50, PAGE NO: 38
Richard Hughes, RN, is senior staff nurse, ICU, St Thomas’ Hospital, London

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Warning

• Take extreme care at all times to maintain alignment of the head, neck and spine.
• If the patient is unconscious as a result of a head injury, always suspect a spinal injury.

Signs and symptoms

A spinal injury should be suspected if the patient has:

• pain at or below site of injury
• loss of sensation, or abnormal sensation such as tingling in hands or feet
• loss of movement or impaired movement below site of injury.

Managing a spinal injury

Unconscious patient/s

1. Follow DRSABCD action plan.
2. Place the unconscious patient in recovery position supporting neck and spine in a neutral position at all times to prevent twisting or bending movements.
3. Maintain a clear and open airway.
4. If the ambulance is delayed, apply a cervical collar, if trained to do so, to minimise neck movement.
5. Ensure an ambulance has been called: triple zero (000).

Conscious patient

1. Calm the patient and loosen tight clothing.
2. Do not move the patient unless in danger.
3. Support head, neck and spine in a neutral position at all times to prevent twisting or bending movements.
4. If the ambulance is delayed, apply a cervical collar, if trained to do so, to minimise neck movement.
5. Ensure an ambulance has been called: triple zero (000).

Where to get help

• For emergency or life-threatening conditions, visit an emergency department or dial triple zero (000) to call an ambulance.

This information provided by

Acknowledgements

St John Ambulance Australia

This publication is provided for education and information purposes only. It is not a substitute for professional medical care. Information about a therapy, service, product or treatment does not imply endorsement and is not intended to replace advice from your healthcare professional. Readers should note that over time currency and completeness of the information may change. All users should seek advice from a qualified healthcare professional for a diagnosis and answers to their medical questions.

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What is the main priority in treating a casualty with a suspected cervical spine injury?

What is the nursing management of spinal cord injury?

Which are the most important things to assess regarding a cervical injury?

Which nursing action is a priority for a client with a spinal cord injury who has developed sudden autonomic dysreflexia?