SPINAL TRAUMA AND PIVD LESSON -21 BY PRAVIN DUDHE
Description: SPINAL TRAUMA AND PIVD LESSON -21 BY PRAVIN DUDHE INSPPH OBJECTIVES UPON COMPLETION OF THIS LESSON YOU WILL BE ABLE TO: BRIEFLY REVIEW THE VERTEBRAL ANATOMY GIVE THE SIGNS AND SYMPTOMS OF SPINAL INJURY ENUMERATE THE STEPS OF SPINAL INJURY
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slide1. SPINAL TRAUMA AND PIVD LESSON -21 BY
PRAVIN DUDHE
INSP/PH<br>
slide2. OBJECTIVES
UPON COMPLETION OF THIS LESSON YOU WILL BE ABLE TO:
BRIEFLY REVIEW THE VERTEBRAL ANATOMY
GIVE THE SIGNS AND SYMPTOMS OF SPINAL INJURY
ENUMERATE THE STEPS OF SPINAL INJURY
GIVE THE SIGNS AND SYMPTOMS OF PIVD
DEFINE BODY MECHANICS AND EXPLAIN THE BASIC RULES TO PREVENT INJURY DURING LIFTING AND MOVING<br>
slide3. SPINAL COLUMN
THE SPINAL COLUMN HOUSES AND PROTECTS THE SPINAL CORD. THE SPINAL COLUMN IS THE CENTRAL SUPPORTIVE BONY STRUCTURE OF THE BODY. IT CONSISTS OF 33 BONES KNOWN AS VERTEBRAE. THE SPINE IS DIVIDED INTO FIVE SECTIONS:
CERVICALSPINE (THE NECK, CONSISTING OF 7 VERTEBRAE)
THORACICSPINE (THE UPPER BACK, CONSISTING OF 12 VERTEBRAE)
LUMBARSPINE (LOWER BACK, CONSISTING OF 5 VERTEBRAE)
SACRUM (LOWER PART OF SPINE, CONSISTING OF 5 FUSED VERTEBRAE)
COCCYX (TAILBONE, CONSISTING OF 4 FUSED VERTEBRAE).
AN INJURY TO THE SPINAL COLUMN CAN CAUSE PARALYSIS OR DEATH IF IT AFFECTS THE CERVICAL REGION.<br>
slide4. SPINAL INJURIES
SIGNS AND SYMPTOMS
• NUMBNESS, TINGLING SENSATION IN THE ARMS OR LEGS
• PARALYSIS OF THE ARMS OR LEGS
• PAIN DURING MOVEMENT OF THE ARMS AND LEGS
• SENSITIVITY OR PAIN ALONG THE LATER PART OF THE NECK OR THE BACK
• DEFORMITY OF THE HEAD OR NECK
• HEAD INJURY OR HAEMATOMAS IN THE SHOULDERS, BACK OR THE PATIENT’S SIDES
• LOSS OF BOWEL OR BLADDER CONTROL
• DIFFICULTY IN BREATHING WITH LITTLE OR NO CHEST MOVEMENT
• THE PATIENT MAY BE FOUND SUPINE WITH ARMS EXTENDED ABOVE THE HEAD (ALSO KNOWN AS POSTURING), WHICH MAY INDICATE DAMAGE IN THE CERVICAL REGION
• PRIAPISM (PERSISTENT ERECTION OF THE PENIS)<br>
slide5. DETERMINING POSSIBLE SPINAL INJURY
1) CONSCIOUS PATIENT:
• ASK WHAT HAPPENED. ASK THE PATIENT HOW HE/SHE IS FEELING. ASK THE PATIENT TO MOVE HIS/HER HANDS OR FEET.
• OBSERVE FOR HAEMATOMAS, LACERATIONS AND DEFORMITIES.
• FEEL (PALPATE) FOR SENSITIVE AREAS, DEFORMITIES.
SIGNS OF SPINAL INJURY MAY NOT BE APPARENT. HOWEVER, THAT DOES NOT RULE OUT SPINAL INJURY.
2) UNCONSCIOUS PATIENT:
• OBSERVE FOR CUTS, HAEMATOMAS, AND DEFORMITIES.
• FEEL FOR DEFORMITIES AND INJURIES.
• ASK OTHERS: WHAT HAPPENED AND HOW<br>
slide6. COMPLICATIONS
• RESPIRATORY ARREST. CAUSED BY PARALYSIS OF THE
THORACIC MUSCLES. BREATHING CAN BE ACCOMPLISHED
ONLY BY THE DIAPHRAGM; PARALYSIS OF THE THORACIC MUSCLES CAN SEVERELY REDUCE OR COMPROMISE BREATHING.
• NEUROLOGICAL INJURY CAN AFFECT THE DIAMETER OF THE BLOOD VESSELS, THEREBY PRODUCING SHOCK (NEUROGENIC SHOCK).
• GENERAL PARALYSIS.
MANAGEMENT FOR SPINAL INJURY
USE UNIVERSAL PRECAUTIONS AND SECURE THE SCENE.
DETERMINE THE MECHANISM OF INJURY.
PROVIDE MANUAL IN-LINE NEUTRAL STABILISATIONOF THE HEAD AND NECK UPON FIRST CONTACT WITH THE PATIENT.<br>
slide7. 3) CONDUCT INITIAL ASSESSMENT. CONSIDER ANY
UNCONSCIOUS PATIENT A TRAUMA VICTIM WITH POSSIBLE
NECK OR SPINAL INJURY UNTIL PROVEN OTHERWISE.
4) ADMINISTER OXYGEN HIGH FLOW.
5) PERFORM PHYSICAL EXAM AND PROVIDE TREATMENT.
6) MAINTAIN MANUAL STABILISATIONUNTIL PATIENT IS COMPLETELY IMMOBILISED.
7) CONTINUALLY MONITOR VITAL SIGNS DURING TRANSPORT
8) AVOID UNNECESSARY MOVEMENT OF PATIENT
9) ATTEND TO OTHER INJURIES
10) NON NARCOTIC ANALGESIC IN PARENTERAL FORM CAN BE ADMINISTERED INTRAMUSCULARLY
11) IF BLOOD PRESSURE FALLING LOW DUE TO HAEMORRHAGE, SHOCK, ESTABLISH SECURE IV ACCESS (VENFLON) AND START IV RINGER LACTATE AT 30-40 DROPS/MIN
12) EVACUATE PATIENT FOR FURTHER MANAGEMENT AT NEXT LEVEL OF CARE.<br>
slide8. DEMONSTRATION STEPS- STABILISATION CERVICAL SPINE INJURY
SITTING AND SUPINE PATIENT (USING A CERVICAL COLLAR):
1. MAINTAIN MANUAL STABILISATION.
2. SIZE AND SELECT THE CORRECT COLLAR.
3. SLIDE THE POSTERIOR PORTION OF THE COLLAR BEHIND THE PATIENT’S NECK.
4. PLACE THE ANTERIOR PORTION OF THE COLLAR UNDER THE PATIENT’S CHIN.
5. FASTEN THE COLLAR IN PLACE.<br>
slide9. DEMONSTRATION STEPS- STABILISATION CERVICAL SPINE INJURY
SUPINE PATIENT (5 RESCUERS) (USING A BACKBOARD):
1. RESCUER 1 MAINTAINS MANUAL STABILISATION THROUGHOUT THE PROCEDURE.
2. RESCUERS 2, 3 AND 4 GENTLY ROLL THE PATIENT ON HIS/HER SIDE.
3. RESCUER 5 MOVES THE BACKBOARD INTO POSITION.
4. RESCUERS 2, 3, 4 AND 5 GENTLY LOWER THE PATIENT + BACKBOARD TO THE GROUND.<br>
slide10. PRONE PATIENT (5 RESCUERS) (USING A BACKBOARD):
1. RESCUER 1 MAINTAINS MANUAL STABILISATION THROUGHOUT THE PROCEDURE (RESCUER MUST CROSS HIS/HER ARMS TO ROLL THE PATIENT).
2. RESCUERS 2, 3 AND 4 GENTLY ROLL THE PATIENT ON HIS/HER SIDE.
3. RESCUER 5 MOVES THE BACKBOARD INTO POSITION.
4. RESCUERS 2, 3, 4 AND 5 GENTLY LOWER THE PATIENT + BACKBOARD TO THE GROUND.
STANDING PATIENT (5 RESCUERS) (USING A CERVICAL COLLAR/ BACKBOARD):
1. RESCUER 1 STANDS BEHIND THE PATIENT AND MAINTAINS MANUAL STABILIZATION THROUGHOUT THE PROCEDURE.
2. RESCUER 2 PLACES THE CERVICAL COLLAR ON THE PATIENT.
3. RESCUER 3 MOVES THE BACKBOARD INTO POSITION BETWEEN RESCUER 1 AND THE PATIENT.
4. RESCUERS 4 AND 5 GRAB THE BACKBOARD UNDER THE PATIENT’S ARMS.
5. RESCUERS 2 AND 3 GRAB THE BACKBOARD ALONG THE PATIENT’S HIPS AND LEGS.
6. ALL RESCUERS GENTLY LOWER THE BACKBOARD + PATIENT TO THE GROUND.<br>
slide11. PROLAPSED INTER VERTEBRAL DISC (PIVD)
THIS IS A COMMON CAUSE OF MORBIDITY IN OUR
FORCE DUE TO THE RIGOROUS STRESS AND STRAIN OF WORK IN HILLY TERRAINS. AWARENESS OF THE CONDITION AND ADOPTION OF BODY MECHANICS WILL GO A LONG WAY IN REDUCING THIS ILLNESS AND SUBSEQUENT LOW MEDICAL CATEGORY.
IN PIVD, THE COMMONEST REGION AFFECTED IS THE LUMBO-SACRAL SPINE. DUE TO WEAR AND TEAR, THE NUCLEUS PULPOSUS OF THE VERTEBRA PROLAPSES THROUGH THE BONY DEGENERATION EXERTING PRESSURE ON THE SPINAL CORD. THIS LEADS TO RADIATING PAIN, ALTERED SENSATION AND GRADUALLY LOSS OF MOTOR POWER IN THE SEGMENTS SUPPLIED BY THE NERVES.<br>
slide12. COMMON SIGNS & SYMPTOMS:
PAIN RADIATING FROM GLUTEAL REGION TO
BACK OF THIGH, CALVES AND FOOT
SUDDEN ONSET OF SYMPTOMS ON LIFTING HEAVY WEIGHT
SCIATICA
PERSISTENT PAIN LOWER BACK
TINGLING AND NUMBNESS IN AFFECTED NERVE DISTRIBUTION
PAINFUL GAIT
WEAKNESS OF THE LIMB
WASTING OF THE MUSCLES SUPPLIED BY THE NERVE<br>
slide13. MANAGEMENT:
ONCE THE PATIENT DEVELOPS SYMPTOMS, FURTHER STRESS TO THE SPINE SHOULD BE AVOIDED AND PATIENT ENCOURAGED TO HAVE COMPLETE BED REST FOR 2-3 DAYS OR UNTIL SYMPTOMS IMPROVE
ANALGESIC/ANTI-INFLAMMATORY WITH MUSCLE RELAXANT ORAL PREPARATIONS AFTER FOOD THRICE DAILY TO BE GIVEN
HOT FOMENTATION OR IR LAMP TREATMENT CAN BE GIVEN
ONCE PAIN SUBSIDES THE PATIENT IS TO BE REFERRED FOR EVALUATION AND TREATMENT.
IN ESTABLISHED CASES, THE PATIENT SHOULD BE STRESSED THE NEED FOR SPINE STRENGTHENING EXERCISES AND PRACTICE OF BODY MECHANICS DURING WORK
PREVENTION:
PREVENTION LIES IN ADOPTION OF BODY MECHANICS IN DAY TO DAY LIFE-ACTIVITIES AS DESCRIBED BELOW<br>
slide14. BODY MECHANICS
DEFINITION: BODY MECHANICS IS DEFINED AS THE PROPER USE OF OUR BODY TO FACILITATE LIFTING/MOVING AND TO PREVENT INJURY DURING THE SAME.
INCORRECTLY LIFTING AND CARRYING EQUIPMENT COULD CAUSE INJURY AND POTENTIALLY END A MEDIC’S CAREER OR CAUSE LIFE-LONG PAIN.
WHEN IT COMES TO LIFTING, FOLLOW THESE BASIC RULES TO PREVENT INJURIES:
• PLAN YOUR MOVE BEFORE LIFTING AN OBJECT.
• USE YOUR LEGS TO LIFT, NOT YOUR BACK.
• KEEP THE WEIGHT OF THE OBJECT AS CLOSE TO YOUR BODY AS POSSIBLE<br>
slide15. • “STACK” – MOVE YOUR BODY AS A VERTICAL UNIT. VISUALISE YOUR SHOULDERS AS STACKED ONTO YOUR HIPS, YOUR HIPS TO YOUR FEET.
• REDUCE THE HEIGHT OR DISTANCE YOU NEED TO MOVE AN OBJECT.
• REPOSITIONANDLIFT IN STAGES.
APPLY THESE PRINCIPLES TO LIFTING, PULLING, PUSHING, CARRYING, MOVING OR REACHING FOR AN OBJECT. THE KEY TO PREVENTING INJURY IS CORRECT ALIGNMENT OF THE SPINE:<br>
slide16. KEEP A NORMAL INWARD CURVE OF THE LOWER BACK.
KEEP WRIST AND KNEES IN NORMAL ALIGNMENT.
TEAMWORK IS ESSENTIAL - COMMUNICATE DURING A TASK, CLEARLY AND FREQUENTLY. USE COMMANDS THAT ARE EASY FOR TEAM MEMBERS TO UNDERSTAND. VERBALLY COORDINATE MOVES FROM BEGINNING TO END.
A PROACTIVE, WELL-BALANCED PHYSICAL FITNESS PROGRAM SHOULD INCLUDE TRAINING IN FLEXIBILITY, CARDIOVASCULAR EXERCISE, STRENGTH AND NUTRITION.<br>
slide17. ANY QUESTION ?<br>
slide18. THANKS<br>
PRAVIN DUDHE
INSP/PH<br>
slide2. OBJECTIVES
UPON COMPLETION OF THIS LESSON YOU WILL BE ABLE TO:
BRIEFLY REVIEW THE VERTEBRAL ANATOMY
GIVE THE SIGNS AND SYMPTOMS OF SPINAL INJURY
ENUMERATE THE STEPS OF SPINAL INJURY
GIVE THE SIGNS AND SYMPTOMS OF PIVD
DEFINE BODY MECHANICS AND EXPLAIN THE BASIC RULES TO PREVENT INJURY DURING LIFTING AND MOVING<br>
slide3. SPINAL COLUMN
THE SPINAL COLUMN HOUSES AND PROTECTS THE SPINAL CORD. THE SPINAL COLUMN IS THE CENTRAL SUPPORTIVE BONY STRUCTURE OF THE BODY. IT CONSISTS OF 33 BONES KNOWN AS VERTEBRAE. THE SPINE IS DIVIDED INTO FIVE SECTIONS:
CERVICALSPINE (THE NECK, CONSISTING OF 7 VERTEBRAE)
THORACICSPINE (THE UPPER BACK, CONSISTING OF 12 VERTEBRAE)
LUMBARSPINE (LOWER BACK, CONSISTING OF 5 VERTEBRAE)
SACRUM (LOWER PART OF SPINE, CONSISTING OF 5 FUSED VERTEBRAE)
COCCYX (TAILBONE, CONSISTING OF 4 FUSED VERTEBRAE).
AN INJURY TO THE SPINAL COLUMN CAN CAUSE PARALYSIS OR DEATH IF IT AFFECTS THE CERVICAL REGION.<br>
slide4. SPINAL INJURIES
SIGNS AND SYMPTOMS
• NUMBNESS, TINGLING SENSATION IN THE ARMS OR LEGS
• PARALYSIS OF THE ARMS OR LEGS
• PAIN DURING MOVEMENT OF THE ARMS AND LEGS
• SENSITIVITY OR PAIN ALONG THE LATER PART OF THE NECK OR THE BACK
• DEFORMITY OF THE HEAD OR NECK
• HEAD INJURY OR HAEMATOMAS IN THE SHOULDERS, BACK OR THE PATIENT’S SIDES
• LOSS OF BOWEL OR BLADDER CONTROL
• DIFFICULTY IN BREATHING WITH LITTLE OR NO CHEST MOVEMENT
• THE PATIENT MAY BE FOUND SUPINE WITH ARMS EXTENDED ABOVE THE HEAD (ALSO KNOWN AS POSTURING), WHICH MAY INDICATE DAMAGE IN THE CERVICAL REGION
• PRIAPISM (PERSISTENT ERECTION OF THE PENIS)<br>
slide5. DETERMINING POSSIBLE SPINAL INJURY
1) CONSCIOUS PATIENT:
• ASK WHAT HAPPENED. ASK THE PATIENT HOW HE/SHE IS FEELING. ASK THE PATIENT TO MOVE HIS/HER HANDS OR FEET.
• OBSERVE FOR HAEMATOMAS, LACERATIONS AND DEFORMITIES.
• FEEL (PALPATE) FOR SENSITIVE AREAS, DEFORMITIES.
SIGNS OF SPINAL INJURY MAY NOT BE APPARENT. HOWEVER, THAT DOES NOT RULE OUT SPINAL INJURY.
2) UNCONSCIOUS PATIENT:
• OBSERVE FOR CUTS, HAEMATOMAS, AND DEFORMITIES.
• FEEL FOR DEFORMITIES AND INJURIES.
• ASK OTHERS: WHAT HAPPENED AND HOW<br>
slide6. COMPLICATIONS
• RESPIRATORY ARREST. CAUSED BY PARALYSIS OF THE
THORACIC MUSCLES. BREATHING CAN BE ACCOMPLISHED
ONLY BY THE DIAPHRAGM; PARALYSIS OF THE THORACIC MUSCLES CAN SEVERELY REDUCE OR COMPROMISE BREATHING.
• NEUROLOGICAL INJURY CAN AFFECT THE DIAMETER OF THE BLOOD VESSELS, THEREBY PRODUCING SHOCK (NEUROGENIC SHOCK).
• GENERAL PARALYSIS.
MANAGEMENT FOR SPINAL INJURY
USE UNIVERSAL PRECAUTIONS AND SECURE THE SCENE.
DETERMINE THE MECHANISM OF INJURY.
PROVIDE MANUAL IN-LINE NEUTRAL STABILISATIONOF THE HEAD AND NECK UPON FIRST CONTACT WITH THE PATIENT.<br>
slide7. 3) CONDUCT INITIAL ASSESSMENT. CONSIDER ANY
UNCONSCIOUS PATIENT A TRAUMA VICTIM WITH POSSIBLE
NECK OR SPINAL INJURY UNTIL PROVEN OTHERWISE.
4) ADMINISTER OXYGEN HIGH FLOW.
5) PERFORM PHYSICAL EXAM AND PROVIDE TREATMENT.
6) MAINTAIN MANUAL STABILISATIONUNTIL PATIENT IS COMPLETELY IMMOBILISED.
7) CONTINUALLY MONITOR VITAL SIGNS DURING TRANSPORT
8) AVOID UNNECESSARY MOVEMENT OF PATIENT
9) ATTEND TO OTHER INJURIES
10) NON NARCOTIC ANALGESIC IN PARENTERAL FORM CAN BE ADMINISTERED INTRAMUSCULARLY
11) IF BLOOD PRESSURE FALLING LOW DUE TO HAEMORRHAGE, SHOCK, ESTABLISH SECURE IV ACCESS (VENFLON) AND START IV RINGER LACTATE AT 30-40 DROPS/MIN
12) EVACUATE PATIENT FOR FURTHER MANAGEMENT AT NEXT LEVEL OF CARE.<br>
slide8. DEMONSTRATION STEPS- STABILISATION CERVICAL SPINE INJURY
SITTING AND SUPINE PATIENT (USING A CERVICAL COLLAR):
1. MAINTAIN MANUAL STABILISATION.
2. SIZE AND SELECT THE CORRECT COLLAR.
3. SLIDE THE POSTERIOR PORTION OF THE COLLAR BEHIND THE PATIENT’S NECK.
4. PLACE THE ANTERIOR PORTION OF THE COLLAR UNDER THE PATIENT’S CHIN.
5. FASTEN THE COLLAR IN PLACE.<br>
slide9. DEMONSTRATION STEPS- STABILISATION CERVICAL SPINE INJURY
SUPINE PATIENT (5 RESCUERS) (USING A BACKBOARD):
1. RESCUER 1 MAINTAINS MANUAL STABILISATION THROUGHOUT THE PROCEDURE.
2. RESCUERS 2, 3 AND 4 GENTLY ROLL THE PATIENT ON HIS/HER SIDE.
3. RESCUER 5 MOVES THE BACKBOARD INTO POSITION.
4. RESCUERS 2, 3, 4 AND 5 GENTLY LOWER THE PATIENT + BACKBOARD TO THE GROUND.<br>
slide10. PRONE PATIENT (5 RESCUERS) (USING A BACKBOARD):
1. RESCUER 1 MAINTAINS MANUAL STABILISATION THROUGHOUT THE PROCEDURE (RESCUER MUST CROSS HIS/HER ARMS TO ROLL THE PATIENT).
2. RESCUERS 2, 3 AND 4 GENTLY ROLL THE PATIENT ON HIS/HER SIDE.
3. RESCUER 5 MOVES THE BACKBOARD INTO POSITION.
4. RESCUERS 2, 3, 4 AND 5 GENTLY LOWER THE PATIENT + BACKBOARD TO THE GROUND.
STANDING PATIENT (5 RESCUERS) (USING A CERVICAL COLLAR/ BACKBOARD):
1. RESCUER 1 STANDS BEHIND THE PATIENT AND MAINTAINS MANUAL STABILIZATION THROUGHOUT THE PROCEDURE.
2. RESCUER 2 PLACES THE CERVICAL COLLAR ON THE PATIENT.
3. RESCUER 3 MOVES THE BACKBOARD INTO POSITION BETWEEN RESCUER 1 AND THE PATIENT.
4. RESCUERS 4 AND 5 GRAB THE BACKBOARD UNDER THE PATIENT’S ARMS.
5. RESCUERS 2 AND 3 GRAB THE BACKBOARD ALONG THE PATIENT’S HIPS AND LEGS.
6. ALL RESCUERS GENTLY LOWER THE BACKBOARD + PATIENT TO THE GROUND.<br>
slide11. PROLAPSED INTER VERTEBRAL DISC (PIVD)
THIS IS A COMMON CAUSE OF MORBIDITY IN OUR
FORCE DUE TO THE RIGOROUS STRESS AND STRAIN OF WORK IN HILLY TERRAINS. AWARENESS OF THE CONDITION AND ADOPTION OF BODY MECHANICS WILL GO A LONG WAY IN REDUCING THIS ILLNESS AND SUBSEQUENT LOW MEDICAL CATEGORY.
IN PIVD, THE COMMONEST REGION AFFECTED IS THE LUMBO-SACRAL SPINE. DUE TO WEAR AND TEAR, THE NUCLEUS PULPOSUS OF THE VERTEBRA PROLAPSES THROUGH THE BONY DEGENERATION EXERTING PRESSURE ON THE SPINAL CORD. THIS LEADS TO RADIATING PAIN, ALTERED SENSATION AND GRADUALLY LOSS OF MOTOR POWER IN THE SEGMENTS SUPPLIED BY THE NERVES.<br>
slide12. COMMON SIGNS & SYMPTOMS:
PAIN RADIATING FROM GLUTEAL REGION TO
BACK OF THIGH, CALVES AND FOOT
SUDDEN ONSET OF SYMPTOMS ON LIFTING HEAVY WEIGHT
SCIATICA
PERSISTENT PAIN LOWER BACK
TINGLING AND NUMBNESS IN AFFECTED NERVE DISTRIBUTION
PAINFUL GAIT
WEAKNESS OF THE LIMB
WASTING OF THE MUSCLES SUPPLIED BY THE NERVE<br>
slide13. MANAGEMENT:
ONCE THE PATIENT DEVELOPS SYMPTOMS, FURTHER STRESS TO THE SPINE SHOULD BE AVOIDED AND PATIENT ENCOURAGED TO HAVE COMPLETE BED REST FOR 2-3 DAYS OR UNTIL SYMPTOMS IMPROVE
ANALGESIC/ANTI-INFLAMMATORY WITH MUSCLE RELAXANT ORAL PREPARATIONS AFTER FOOD THRICE DAILY TO BE GIVEN
HOT FOMENTATION OR IR LAMP TREATMENT CAN BE GIVEN
ONCE PAIN SUBSIDES THE PATIENT IS TO BE REFERRED FOR EVALUATION AND TREATMENT.
IN ESTABLISHED CASES, THE PATIENT SHOULD BE STRESSED THE NEED FOR SPINE STRENGTHENING EXERCISES AND PRACTICE OF BODY MECHANICS DURING WORK
PREVENTION:
PREVENTION LIES IN ADOPTION OF BODY MECHANICS IN DAY TO DAY LIFE-ACTIVITIES AS DESCRIBED BELOW<br>
slide14. BODY MECHANICS
DEFINITION: BODY MECHANICS IS DEFINED AS THE PROPER USE OF OUR BODY TO FACILITATE LIFTING/MOVING AND TO PREVENT INJURY DURING THE SAME.
INCORRECTLY LIFTING AND CARRYING EQUIPMENT COULD CAUSE INJURY AND POTENTIALLY END A MEDIC’S CAREER OR CAUSE LIFE-LONG PAIN.
WHEN IT COMES TO LIFTING, FOLLOW THESE BASIC RULES TO PREVENT INJURIES:
• PLAN YOUR MOVE BEFORE LIFTING AN OBJECT.
• USE YOUR LEGS TO LIFT, NOT YOUR BACK.
• KEEP THE WEIGHT OF THE OBJECT AS CLOSE TO YOUR BODY AS POSSIBLE<br>
slide15. • “STACK” – MOVE YOUR BODY AS A VERTICAL UNIT. VISUALISE YOUR SHOULDERS AS STACKED ONTO YOUR HIPS, YOUR HIPS TO YOUR FEET.
• REDUCE THE HEIGHT OR DISTANCE YOU NEED TO MOVE AN OBJECT.
• REPOSITIONANDLIFT IN STAGES.
APPLY THESE PRINCIPLES TO LIFTING, PULLING, PUSHING, CARRYING, MOVING OR REACHING FOR AN OBJECT. THE KEY TO PREVENTING INJURY IS CORRECT ALIGNMENT OF THE SPINE:<br>
slide16. KEEP A NORMAL INWARD CURVE OF THE LOWER BACK.
KEEP WRIST AND KNEES IN NORMAL ALIGNMENT.
TEAMWORK IS ESSENTIAL - COMMUNICATE DURING A TASK, CLEARLY AND FREQUENTLY. USE COMMANDS THAT ARE EASY FOR TEAM MEMBERS TO UNDERSTAND. VERBALLY COORDINATE MOVES FROM BEGINNING TO END.
A PROACTIVE, WELL-BALANCED PHYSICAL FITNESS PROGRAM SHOULD INCLUDE TRAINING IN FLEXIBILITY, CARDIOVASCULAR EXERCISE, STRENGTH AND NUTRITION.<br>
slide17. ANY QUESTION ?<br>
slide18. THANKS<br>