Safety Skill Eps.05 Cara Memindahkan Korban Menggunakan Long Spine Board (LSB) Dengan 4 Penolong

Safety Skill Eps.05: Cara Memindahkan Korban Menggunakan Long Spine Board (LSB) Dengan 4 Penolong

**Summary:**

This video from PSC 119 YES demonstrates the proper technique for moving a victim using a Long Spine Board (LSB) with the assistance of four rescuers. It emphasizes the importance of teamwork, clear communication, and maintaining spinal alignment throughout the transfer process to prevent further injury. The video details the roles of each rescuer, the steps involved in positioning, securing, and lifting the LSB with the victim, and the importance of coordinating movements.

**Key Takeaways:**

* **Teamwork is crucial:** Effective communication and coordinated movements among the four rescuers are essential for safe and efficient LSB transfers.

* **Maintain spinal immobilization:** The primary goal is to keep the victim's spine aligned and stable throughout the entire process.

* **Clear roles for rescuers:** Each of the four rescuers has specific responsibilities to ensure the procedure is carried out correctly.

* **Gentle and controlled movements:** Avoid jerky or sudden motions that could exacerbate injuries.

* **Constant communication:** Rescuers must communicate their actions and intentions to each other and to the victim (if conscious).

**Detailed Notes:**

I. Introduction and Purpose

* **Video Title:** Safety Skill Eps.05 Cara Memindahkan Korban Menggunakan Long Spine Board (LSB) Dengan 4 Penolong

* **Channel:** PSC 119 YES

* **Organization:** Public Safety Center "PSC 119 YES" Yogyakarta Emergency Service, Dinas Kesehatan Pemerintah Kota Yogyakarta

* **Objective:** To demonstrate the correct procedure for moving a victim with a suspected spinal injury using a Long Spine Board (LSB) with the assistance of four rescuers.

* **Importance:** Preventing further injury, especially to the spine, is paramount during victim extrication and transportation.

II. Essential Equipment

* **Long Spine Board (LSB):** A rigid board designed to immobilize the spine during extrication and transport.

* **Straps/Webbing:** Used to secure the victim to the LSB.

* **Head Immobilizer (Optional but recommended):** Devices to further stabilize the head and neck.

III. Roles of the Four Rescuers

* **Rescuer 1 (Head):**

* Responsible for manual inline cervical stabilization of the victim's head and neck.

* Communicates with the victim (if conscious) and directs the team regarding the victim's condition.

* Ensures the head remains aligned with the body throughout the move.

* **Rescuer 2 (Torso/Upper Body):**

* Assists in sliding the LSB under the victim.

* Manages the victim's upper body and helps secure it to the LSB.

* Coordinates with Rescuer 1 and the lifting team.

* **Rescuer 3 (Hips/Pelvis):**

* Assists in sliding the LSB.

* Manages the victim's hips and pelvis, ensuring it remains aligned.

* Helps secure the victim's lower body to the LSB.

* **Rescuer 4 (Feet/Lower Legs):**

* Assists in sliding the LSB.

* Manages the victim's legs and feet, ensuring they are in a neutral position.

* Secures the victim's legs to the LSB.

* Often takes a leading role in the lifting/carrying phase, coordinating with Rescuer 2.

IV. Step-by-Step Procedure

1. **Initial Assessment and Preparation:**

* Assess the scene for safety.

* Assess the victim's condition, prioritizing spinal injury if suspected.

* Gather all necessary equipment (LSB, straps, head immobilizers).

* Position the LSB alongside the victim.

2. **Manual Inline Cervical Stabilization:**

* Rescuer 1 immediately takes a position at the victim's head and provides manual stabilization, preventing any movement.

3. **Sliding the LSB:**

* **Communication:** Rescuer 1 gives clear commands ("Ready to slide," "Slide on three," "One, two, three, slide").

* **Technique:** Rescuers 2, 3, and 4 work together to slide the LSB underneath the victim. Each rescuer supports a section of the victim's body as the board is moved.

* **Coordination:** Movements should be synchronized and smooth, ensuring the victim's torso and limbs remain as stable as possible.

4. **Securing the Victim to the LSB:**

* **Head Immobilization:** If head immobilizers are available, they are applied by Rescuer 1 (or with assistance) once the victim is on the board.

* **Strapping Order:** Typically, the straps are applied in a specific order to ensure maximum immobilization:

* Chest/Torso straps

* Pelvic straps

* Leg straps

* Head straps (if not using immobilizers)

* **Tightening:** Straps should be snug but not constricting, ensuring the victim is firmly secured to the board without compromising breathing or circulation. Rescuer 1 supervises the head and neck area throughout this process.

5. **Lifting and Moving the LSB:**

* **Communication:** Rescuer 1 (or a designated leader, often Rescuer 4) calls out commands for lifting and moving.

* **Grip:** Rescuers should use proper lifting techniques, with their backs straight and lifting with their legs.

* **Coordination:** The team lifts the LSB simultaneously on command.

* **Carrying:** The team moves in a coordinated manner, maintaining a smooth and steady pace. Rescuer 1 continues to manage the victim's head and neck.

* **Turning (if necessary):** If a log roll maneuver is required to place the victim on the LSB or to access a different position, it must be executed by all four rescuers simultaneously with clear commands, maintaining spinal alignment.

V. Important Considerations and Precautions

* **Communication is Paramount:** Constant verbal cues are essential to ensure all rescuers are acting in unison.

* **Maintain Neutral Alignment:** At all stages, the goal is to keep the victim's spine in a straight, neutral position.

* **Avoid Twisting:** Do not twist the victim's body or spine.

* **Check for Breathing and Circulation:** Ensure the straps do not impede breathing or circulation.

* **Be Aware of Victim's Condition:** Respond to any signs of distress from the victim.

* **Practice Regularly:** Proficiency with LSB techniques requires practice.

VI. Conclusion

* The video reinforces the importance of proper technique, teamwork, and communication when using a Long Spine Board.

* Following these steps minimizes the risk of further injury to victims with suspected spinal trauma.