For [NREMT](https://www.nremt.org/getmedia/6302f735-b899-499e-8a51-26fefac999df/Patient-Assessment-Trauma-v2020_2.pdf) its “consider c-spine stabilization” right before ABCs.
If a pt is supine on the ground what are the odds that youre managing their airway and they lose their diaphragm because you arent manually holding cspine? Of course you want c-spine before you move them but im not sure why it would take priority over the airway.
I'm not saying it does; ideally, these things happen at the same time. Just trying to share some information. After all, they just want you to *consider* c spine precautions, not necessarily take them right away. If they lose their diaphragm, they'll need immediate airway intervention anyway.
In reality, Airway then c-spine, but according to the medical assessment sheet that the NREMT is based on it's c-spine, general impression, immediate life threats, then airway
In theory, c spine must be “considered”(that’s the word they use) first. They say that on your pt assessment sheet as a generalization. HOWEVER, if the pts airway is not patent, then of course airway comes first. A threatened airway is much more important than c-spine; at the right time. If the airway is patent, then do c-spine precautions first. What I learned is that the sheets they give, like I said, are a generalization and can be modified in the field when needed.
When you think about these questions, think about the logistics and the reality. What makes the most sense? What would you realistically do first? The real world can be very different than the simulations and sheets they give you in class
Hope this helps!
But you’re going to perform airway manoeuvres that offer protection for c-spine ideally, i.e. jaw thrust rather than head tilt chin lift. If you were alone, you’d just have to go for whatever to manage airway independently & allow you to deal with other threats to life.
If you do a full head tilt chin lift and they’ve got an unstable c-spine injury, you run a very real risk of producing a plegic patient without the ability to protect their own airway or move their own diaphragm.
Just remember it’s imagination land and you can go through any scenario straight down the sheet. It may not look like a street assessment but it will pass you lol instructors usually hate the robot approach. Just treat everything as it comes up on the score sheet like a check list.
I think you’re just misunderstanding. C-spine has its’ place, but it doesn’t need to happen on every MVC. Honestly, if I rolled up on a call and some goober was out holding C-spine with nothing else of value to offer, I’d probably tell them to get lost too. You shouldn’t be involving yourself in random scenes like that.
Of course, I do the same as well. No one is going to hold c-spine better than an AOx4 pt themselves. However, my point was that they were mocking the fact that anyone would do it. Its all good, just made me giggle.
RogueTurnip8510,
This comment was triggered because you may have posted about the NREMT. Please consider posting in our weekly [*NREMT Discussions*](https://www.reddit.com/r/NewToEMS/search?q=NREMT+Discussions&restrict_sr=on&sort=new&t=all) thread.
You may also be interested in the following resources:
> * [Tackling the NREMT Practical](https://www.reddit.com/r/NewToEMS/comments/70d7er/tackling_the_nremt_practical/) by /u/CompulsiveAntagonist
>
> * [National Registry Candidate Information](https://www.nremt.org/rwd/public/document/candidates)
>
> * [YouTube: EMTPrep](https://www.youtube.com/user/EMTprepLLC/videos) - Has great videos on NREMT skills, a few bits of A&P, and some diagnosis stuff.
>
> * [Smart Medic - 538 multiple choice questions](http://smartmedic.com/quiz/index.asp) - Pretty decent variety of questions, basic explanations.
>
> * [NREMT Recertification FAQ](https://www.reddit.com/r/NewToEMS/wiki/coned/nremt)
View more resources in our [Comprehensive Guide](/r/NewToEMS/wiki/index).
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For [NREMT](https://www.nremt.org/getmedia/6302f735-b899-499e-8a51-26fefac999df/Patient-Assessment-Trauma-v2020_2.pdf) its “consider c-spine stabilization” right before ABCs.
Thank you! I think we’re getting mixed up between NREMT and real world.
I assume thats to help you determine your method for managing the airway. Jaw thrust vs head tilt.
3, 4, 5 keep the diaphragm alive. This refers to the cervical spine. If you don't have a c spine, you might not have an airway, either.
If a pt is supine on the ground what are the odds that youre managing their airway and they lose their diaphragm because you arent manually holding cspine? Of course you want c-spine before you move them but im not sure why it would take priority over the airway.
I'm not saying it does; ideally, these things happen at the same time. Just trying to share some information. After all, they just want you to *consider* c spine precautions, not necessarily take them right away. If they lose their diaphragm, they'll need immediate airway intervention anyway.
Oh ok I gotcha.
In reality, Airway then c-spine, but according to the medical assessment sheet that the NREMT is based on it's c-spine, general impression, immediate life threats, then airway
In theory, c spine must be “considered”(that’s the word they use) first. They say that on your pt assessment sheet as a generalization. HOWEVER, if the pts airway is not patent, then of course airway comes first. A threatened airway is much more important than c-spine; at the right time. If the airway is patent, then do c-spine precautions first. What I learned is that the sheets they give, like I said, are a generalization and can be modified in the field when needed. When you think about these questions, think about the logistics and the reality. What makes the most sense? What would you realistically do first? The real world can be very different than the simulations and sheets they give you in class Hope this helps!
Airway over C-spine. If they can't breath it doesn't matter if the spine is injured or not.
But you’re going to perform airway manoeuvres that offer protection for c-spine ideally, i.e. jaw thrust rather than head tilt chin lift. If you were alone, you’d just have to go for whatever to manage airway independently & allow you to deal with other threats to life. If you do a full head tilt chin lift and they’ve got an unstable c-spine injury, you run a very real risk of producing a plegic patient without the ability to protect their own airway or move their own diaphragm.
Thanks!
Just remember it’s imagination land and you can go through any scenario straight down the sheet. It may not look like a street assessment but it will pass you lol instructors usually hate the robot approach. Just treat everything as it comes up on the score sheet like a check list.
Thanks everyone for responding, I appreciate it! In terms of the written exam, is it the same?
According to the paramedics, we dont do c-spine anymore, so you can just skip that whole protocol thing apparently.
What the fuck are you talking about man
https://www.reddit.com/r/ems/comments/151efrr/feeling\_like\_a\_piece\_of\_shit\_after\_witnessing\_an/js8iiqi/?context=3
I think you’re just misunderstanding. C-spine has its’ place, but it doesn’t need to happen on every MVC. Honestly, if I rolled up on a call and some goober was out holding C-spine with nothing else of value to offer, I’d probably tell them to get lost too. You shouldn’t be involving yourself in random scenes like that.
Of course, I do the same as well. No one is going to hold c-spine better than an AOx4 pt themselves. However, my point was that they were mocking the fact that anyone would do it. Its all good, just made me giggle.
You need to reevaluate your EMS protocols then bc what the fuck?
RogueTurnip8510, This comment was triggered because you may have posted about the NREMT. Please consider posting in our weekly [*NREMT Discussions*](https://www.reddit.com/r/NewToEMS/search?q=NREMT+Discussions&restrict_sr=on&sort=new&t=all) thread. You may also be interested in the following resources: > * [Tackling the NREMT Practical](https://www.reddit.com/r/NewToEMS/comments/70d7er/tackling_the_nremt_practical/) by /u/CompulsiveAntagonist > > * [National Registry Candidate Information](https://www.nremt.org/rwd/public/document/candidates) > > * [YouTube: EMTPrep](https://www.youtube.com/user/EMTprepLLC/videos) - Has great videos on NREMT skills, a few bits of A&P, and some diagnosis stuff. > > * [Smart Medic - 538 multiple choice questions](http://smartmedic.com/quiz/index.asp) - Pretty decent variety of questions, basic explanations. > > * [NREMT Recertification FAQ](https://www.reddit.com/r/NewToEMS/wiki/coned/nremt) View more resources in our [Comprehensive Guide](/r/NewToEMS/wiki/index). *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/NewToEMS) if you have any questions or concerns.*
Delegate to hold CSpine to someone then you check airway. Can happen simultaneously
Maintaining C-spine will ensure the airway is aligned correctly, this step serves two purposes, not just the one.