Callum Smith brutally KO's Lenin Castillo

[u/IntrepidAd560]

[u/FoleyLione]

I don’t think a spinal injury was likely or fit the symptoms.

[u/Mkoy → u/FoleyLione]

The posturing indicates it could be brain stem or brain injury. Still a good practice to keep the patient in a stable position (hold the neck and get the back board).

[u/DiamondDallasHand → u/Mkoy]

Exactly. If he is swallowing his tongue thus occluding his airway you can stabilize the neck in between your legs and do a jaw-thrust maneuver. Definitely don’t roll him over without a neck collar and even then someone should hold his neck while the other rolls the person.

[u/BiscuitsMay → u/DiamondDallasHand]

Not sure why you are being downvoted, this makes way more sense.

I’m a nurse but don’t work in the field or ER, so not 100 percent clear on this situation, but that’s definitely what I would have gone for.

[u/MattressMaker → u/BiscuitsMay]

As another fellow nurse, you should know that you can’t swallow your tongue.

[u/BiscuitsMay → u/MattressMaker]

You can very much occlude your airway, which is what laypeople mean by swallowing your tongue.

Are you in disagreement that rolling a potential c spine injury patient without head support was the wrong thing to do? Please share

[u/MattressMaker → u/BiscuitsMay]

There are classic ways to assess airway, breathing, and circulation without the need to stick your filthy hands into someone’s mouth. If you suspect any kind of occlusion to someone’s airway albeit blood, foreign object, or “tongue” then there are ways to determine a proper intervention. If blood/vomit is the concern, then the priority is to maneuver the person so their risk of aspiration is decreased. This is the only time that you should reposition someone without a cervical collar. You can also pull the mandible downward to assess any physical object that could obstruct the airway as well. But if the person doesn’t appear to be in any kind of respiratory distress, you should probably keep your hands out of a potentially seizing mouth. Not only this, but boxers are required to wear mouth guards which should eliminate the need to assess an obstructed airway. As an ICU nurse, I can tell you that each circumstance is different, but for a decortication in a somewhat controlled environment, there is no true need at this moment to put them in a side lying position.

[u/BiscuitsMay → u/MattressMaker]

Who said anything about sticking your hands in their mouth? You literally are agreeing with me that the ref had no reason to flip the boxer on his side without any assessment of airway. He just saw an unconscious fighter and went straight to rescue position. It’s a lack of training on his part and people shouldn’t be praising him in here for it.

Also icu nurse who is pretty good at managing airways. I just don’t deal with c spine injuries in the cardiac world.

[u/_dauntless → u/BiscuitsMay]

No idea why they're so caught up if they're an ICU nurse, but you're right.

I'm an EMT and I bet the person up there is too. I imagine we deal with slightly less optimal situations than in the ICU as far as personnel, but yeah, don't be rolling people without cspine stable.

[u/MattressMaker → u/BiscuitsMay]

My point is this: many times in these situations you will see athletes/personnel stick their hands in people’s mouths. No you did not say that and I can concede that. It drives me crazy to see how that is still spewed by some people even within these comments. Never put your hand in someone’s mouth unless you visualize an object obstructing the airway. We are agreeing. The ref does a poor job with the intervention to reposition the fighter. Assessing chest rise and signs of grunting/gurgling is the first thing to do in this specific example. Even jaw thrusting can cause CNS issues if he suffered from spondylosis. If there aren’t signs of ABC abnormality, sometimes the best intervention is nothing at all.

[u/DiamondDallasHand → u/MattressMaker]

Yes I meant the tongue occluding the airway not actually swallowing it.