Safety training
GWO Advanced Rescue Training Standard / V4 2023-05-02
ELEMENT 4.1 - RISK OF USING A CERVICAL COLLAR
Learning objectives:
23) The participants can explain the risks posed by using a cervical collar covering the following (Knowledge, intermediate level):
a. increased intercranial pressure
b. compromised airway
24) The participants can recognise and discuss the measures needed to mitigate the risks posed to an unconscious injured person who is wearing a cervical collar (Knowledge, basic level)
The instructor shall:
Explain the risks to an unconscious injured person posed by using a cervical collar, covering the following:
a.
intercranial pressure increase
b.
airway management
Explain that a cervical collar shall only be used as a last resort and in the following circumstances:
a.
the injured person is unconscious, and
b. it is not possible to support the head and / or maintain the airway by other means during the extraction of an unconscious injured person from an enclosed space, and c. that the cervical collar shall only be used for the minimum amount of time required to extract the unconscious injured person from an enclosed space
Explain how to reduce the risks posed by using a cervical collar through the following:
a. correct sizing and fitting of the collar, according to the manufacturer instructions
b. continuously performing primary survey checks on the unconscious injured person airway, breathing and circulation during extraction from an enclosed space c. removal of the cervical collar as soon as it is practicable to do so (i.e. the airway can be managed by other methods and head support is no longer required Facilitate a group discussion or Q&A activity on the risks to an unconscious injured person posed by using a cervical collar
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