C-spine question

[Nate]

I had a guy who was stabbed through the neck with the blade sticking out the other side.

[cosgrojo]

Only time I've seen someone c-spined in prone position... psych call, guy was spitting at and biting anything he could get near. Cops were having a hard time controlling him, guy was jacked up in amphetamines. Boarded him face down with collar, cops restrained with cuffs, strapped him hard to board. Collar was only to keep him from spitting and biting. ER got a kick out of it. My partner thought of it... I thought it was quite ingenious. When he got calmed down, PD hauled him to the clink.

[MedicShannon]

Only time I've seen someone c-spined in prone position... psych call, guy was spitting at and biting anything he could get near. Cops were having a hard time controlling him, guy was jacked up in amphetamines. Boarded him face down with collar, cops restrained with cuffs, strapped him hard to board. Collar was only to keep him from spitting and biting. ER got a kick out of it. My partner thought of it... I thought it was quite ingenious. When he got calmed down, PD hauled him to the clink.

A private agency here (not the one I work at) did this a few years ago.. the patient died. I don't think he was c-spined, but he was on the stretcher prone and was restrained in some way. I have had difficult patients that needed to be in a position other than supine, but I have put them in a recumbent position. As far as the spitting, a NRB works well. Or a surgical mask with a face shield.

Just my $0.02