
Learn. Prevent. Empower.
Spinal Injuries
Learning Outcomes:
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Recognise signs and causes of spinal injuries
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Understand the risks of moving a casualty
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Apply basic first aid for suspected spinal injuries
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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:
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Intense pain at the injury site.
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Abnormal curve or visible deformity along the spine.
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Tenderness when touching the spine gently.
If the spinal cord is also damaged:
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Inability to move limbs (partial or complete paralysis).
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Abnormal or lost sensation in limbs.
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Paralysis of all four limbs if injury is in the neck region.
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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
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Call the ambulance immediately for assistance!
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Do not move the casualty.
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If conscious, reassure the casualty and instruct them not to move.
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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.
*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.


