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Spinal Injuries

Learning Outcomes:
  • Recognise signs and causes of spinal injuries

  • Understand the risks of moving a casualty

  • Apply basic first aid for suspected spinal injuries

  • Know when to seek professional medical help

Lesson Content:
Video source: YouTube / St John Ambulance

Recognition of Spinal Injury

If the spinal column (vertebrae) is damaged:

  • Intense pain at the injury site.

  • Abnormal curve or visible deformity along the spine.

  • Tenderness when touching the spine gently.

If the spinal cord is also damaged:

  • Inability to move limbs (partial or complete paralysis).

  • Abnormal or lost sensation in limbs.

  • Paralysis of all four limbs if injury is in the neck region.

  • Difficulty breathing if the injury is high in the cervical spine.

 

It is actually very difficult to identify if a casualty has spinal injury. However, we can suspect spinal injury when:
1. Casualty has fallen from height/in some major accident (road traffic accident)

2. Casualty sustained trauma to the head/head injuries are observed

 

 ⚠️ Do not move the casualty if a neck or spinal injury is suspected.

​Actions to take for Spinal Injury

  • Call the ambulance immediately for assistance!

  • Do not move the casualty.

  • If conscious, reassure the casualty and instruct them not to move.

  • Immobilise and support the head in its current position using a head grip or objects such as a waist pouch, books, or a rolled-up jacket to prevent further movement.

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*Performing a head grip, a sternum grip and using a cervical collar are only recommended for trained individuals as you might risk moving their head.

Key Pointers:
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Recognize Spinal Injuries:

  • Back pain or deformity

  • Numbness or paralysis

  • Trouble breathing (if neck injured)
     

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