b. Improper use of chin straps. Use of chin straps are only beneficial if the
mouth is closed and molars seated. The patient may vomit and aspirate; therefore,
avoid using chin straps.
c. Ineffective immobilization, such as the following:
Devices not properly anchored.
(2) Ties applied around the legs, allowing the device used to move if the
legs of the patient move.
Patient's head not immobilized properly.
Patient's feet not tied together.
d. Patient's head in an improper position. Avoid hyperextension, overpadding,
or collars which are too large.
e. Lack of concern for other injuries when applying an immobilization device.
f. Immobilization of the patient's chest inhibiting ventilation.
g. Patient is moved too much when the immobilization device is applied.
h. Rotary stress placed on the patient when the straps are being tightened, etc.
i. Immobilization of the patient's head before the patient's trunk is immobilized.
j. Sandbags are used with a long spineboard.
k. Short board is not used properly in conjunction with the long board.
l. Too much time is spent mechanically immobilizing the patient's spine when
intervention for other injuries is needed.
Young, otherwise healthy people suffer a high percentage of spinal cord injuries
and head trauma. The results of such injuries are often devastating. Quick recognition
and proper, early management of spinal injuries can make a significant decrease in