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Things to be followed when suspected a fractured spine
1. Position the casualty flat, stabilize the head and neck as you found them by placing your hands on both sides of the head.
2. Establish and maintain an open airway - jaw-thrust maneuver. Note that the head is not tilted and the neck is not extended. Check the airway, breathing, and circulation (ABCs).
3. Finger sweep to remove any foreign bodies from the mouth.
4. Maintain neutral position of head and neck and, if possible, apply a cervical collar or improvised (towel) collar.
5. Keep the casualty comfortable and warm enough to maintain normal body temperature.
6. Treat for shock - Casualties with suspected spinal injuries are to remain flat. Do not raise the casualty's feet. If the casualty is vomiting or bleeding around the mouth, place them on their side keeping the neck straight. Do not give anything to eat or drink.
7. Request medical assistance immediately - Time is critical. Do not move the casualty unless it is absolutely necessary. Do not bend or twist the casualty's body. Do not move the head forward, backward, or sideways. Do not allow the casualty to sit up.