NREMT Paramedic Cognitive ExamTraumaMedium
A 45-year-old construction worker falls 20 feet from scaffolding, landing on his feet. He complains of severe back pain and numbness in both legs. Which of the following is the MOST appropriate initial immobilization device for this patient?
- AKendrick Extrication Device (KED)
- BCervical collar and scoop stretcher
- CVacuum mattress
- DLong backboard with full strapping
Show answer & explanationAnswer & explanation
Correct answer: C. Vacuum mattress
A vacuum mattress conforms to the patient's body, providing excellent full-body immobilization and reducing pressure points, which is superior to a rigid backboard for long-term transport and for complex spinal injuries.
Why the other options are wrong
- A. A KED is primarily used for extrication from a seated position and does not provide full-body immobilization for a patient found supine or prone after a fall.
- B. While a cervical collar is necessary, a scoop stretcher is primarily for moving a patient, not for definitive immobilization during transport in this scenario.
- D. A long backboard is rigid and can create pressure points, potentially worsening discomfort and secondary injury, especially for prolonged immobilization.
Vacuum Mattress
An immobilization device filled with small beads that, when air is evacuated, molds to the patient's body contours, providing rigid support while minimizing pressure points.
- Superior to backboards for comfort and pressure sore prevention.
- Conforms to body shape, providing better immobilization.
- Can be used for various types of trauma, including spinal, pelvic, and extremity injuries.
Memory trick: Spine Safe: Vacuum Molds, Backboard Board, Collar Cares, KED Sits