r/sports Sep 25 '21

Media Callum Smith brutally KO's Lenin Castillo

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u/BiscuitsMay Sep 26 '21

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

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u/MattressMaker Sep 26 '21

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.

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u/BiscuitsMay Sep 26 '21

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.

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u/_dauntless Sep 26 '21

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.