BACK OR NECK INJURIES

         Mishandling a person whose back or neck is broken ca cause permanent paralysis or even death.

         A casualty with a suspected broken back or neck should be moved only if he is in immediate danger, in a burning building, for example.  Otherwise leave him where he is.  Any moving should be left to ambulance men who have the right equipment.

         Before you even touch an injured person, look for possible clues,  For example, if he is lying at the foot of a ladder or a flight of stairs, it is possible he has suffered a back or neck injury.


Warning signs

  • Loss of feeling and movement below the injured area, or a sensation of having been cut in half.
  • Pain at the site of injury
  • A tingling sensation or pins and needles in the hands and feet (denotes neck injury)
  • Inability to move fingers, wrists, toes or ankles when asked to do so, with no symptoms of a broken arm or leg
  • Inability to feel pain when the skin is gently nipped.
  • Difficulty in breathing

 What you should do

  • Tell the casualty to lie still
  • Cover him with a blanket and comfort him as much as possible.  Do not raise the head or try to rest it on anyting.  Call for an ambulance.
  • If the casualty is unconscious, and lying on his back, do not turn him over into the recovery position.  Leave him face up and clean his mouth of any obstructions to breathing with your fingers.
  • Watch his breathing carefull.  If it stops, begin mouth-to-mouth respiration immediately, even though tilting the head risks further damage to the spine.  Be as careful and gently as you can.