Protecting Patients or Harming Them? The Risks and Complications of Using a Spine Board with Head Immobilizer

According to recent statistics, the use of a spine board with head immobilizer is a common practice in emergency situations, with thousands of patients immobilized every year. While this device is designed to protect the patient's spine and head from further injury during transportation, healthcare professionals should also be aware of the potential risks and complications that come with its use.

What is a Spine Board with Head Immobilizer?

A spine board with head immobilizer is a device used to immobilize the head and neck of a patient while transporting them. It consists of a long board that is placed under the patient's back, along with straps to secure the patient's body to the board. The head immobilizer is attached to the board to prevent any movement of the patient's head and neck.

The Risks and Complications

Pain and Discomfort

The use of a spine board with head immobilizer can cause pain and discomfort to the patient. The hard surface of the board can press against the patient's back, causing pressure sores or skin irritation. The head immobilizer can also cause discomfort and pain, especially if it is not properly fitted to the patient's head and neck.

Breathing Difficulties

The use of a spine board with head immobilizer can also cause breathing difficulties, especially if the patient is obese or has respiratory problems. The board can put pressure on the patient's chest, making it difficult for them to breathe. In some cases, the head immobilizer can also obstruct the patient's airway, making it harder for them to breathe.

Increased Risk of Aspiration

Patients who are immobilized on a spine board with head immobilizer are at an increased risk of aspiration. This is because they are unable to clear their airway due to the immobilization. In addition, if the patient vomits, the vomit can pool in their mouth and block their airway, leading to aspiration.

Delayed Treatment

The use of a spine board with head immobilizer can also cause delayed treatment. The immobilization process takes time, which can delay the start of treatment. This delay can be detrimental, especially in cases where time is of the essence, such as in cases of spinal cord injuries or trauma.

Conclusion

The use of a spine board with head immobilizer is a necessary precaution in emergency situations. However, healthcare professionals should be aware of the risks and complications associated with its use. Patients may experience pain, discomfort, breathing difficulties, and an increased risk of aspiration. In addition, the immobilization process can cause delays in treatment, which can be harmful to the patient. As healthcare professionals, we must use the spine board with head immobilizer judiciously and ensure that it is only used when necessary.

It is our duty to prioritize patient safety and minimize the risks and complications associated with the use of a spine board with head immobilizer.

Remember: Always follow proper protocols and guidelines when using a spine board with head immobilizer, and be mindful of any signs of distress or discomfort from the patient.