Raven EMS Education Program ManualTrauma Splint Pediatric Car Seat Evaluation Form
Date:
Student name:
Evaluator name:
Steps:
Take BSI precautions.
Use the jaw-thrust maneuver to open the airway and avoid head or neck movement.
Explain the procedure to the patient and guardians (if available).
Take or direct manual stabilization of the c-spine in a neutral, in-line position; if resistance or extreme pain is noted, leave the head in the position found.
If the patient has a compromised airway, maintain c-spine stabilization while removing the patient from the car seat and continue with treatment and long spine board immobilization; if the patient is stable, prepare to immobilize in the car seat.
Assess CMS in all extremities.
Apply a cervical collar if possible.
Apply padding (sheets, towels, etc) between the sides of the car seat and the patient’s torso and legs.
Apply padding between the sides of the car seat and around the patient’s head.
Tighten the car seat straps as necessary to secure the patient.
Immobilize the patient’s head to the car seat.
Reassess CMS in all extremities.
Secure the car seat to the gurney. Ensure rear-facing car seats are still rear-facing related to the direction of travel of the ambulance.
Accepts evaluation and criticism professionally.
Shows willingness to learn/asks appropriate questions.
Interacts with simulated patient and other personnel in a professional manner (ie, uses appropriate name, explains procedures, maintains modesty, is courteous to crew, etc).
Passing criteria:
Pass: At least 70% (? of ?) successfully completed above. Currently at 0% completed.
Fail.
Did not explain and reassure the patient and guardians to allow informed consent.
Orders release of manual immobilization before it is maintained mechanically.
Does not complete immobilization of the torso prior to immobilizing the head.
Does not tighten car seat straps to prevent excessive torso movement.
Provides immobilization that allows for potential airway compromise.
