Slide 1

The Training Room, Inc. Presents: Fitting the S.O.M.I. Cervical Collar Slide 2 S.O.M.I. Sternal-Occipital-Mandibular Immobilizer Manufactured by CAMP INTERNATIONAL Slide 3 INDICATIONS: Cervical ArthritisCervical Arthritis Post Surgical FusionsPost Surgical Fusions Frequently Prescribed for use after HALO RemovalFrequently Prescribed for use after HALO Removal Stable Cervical FracturesStable Cervical Fractures Rarely although sometimes prescribed for unstable cervical fracturesRarely although sometimes prescribed for unstable cervical fractures Cervical Fractures above C-4Cervical Fractures above C-4 Slide 4 CONTRAINDICATIONS: Unstable Fractures, Especially in ExtensionUnstable Fractures, Especially in Extension Slide 5 Relatively Effective in controlling movement in the sagittal plane Very Effective in Controlling Flexion Easily Donned and Doffed on Supine Patient Use of Headband makes feeding and oral care less problematic U-Shaped metal supports can be easily adjusted to particular positioning requirements Slide 6 Items Supplied in the kit: Items Supplied in the kit: Allen Wrenches and screws Occipital Support Sternal Yoke Sternal Yoke Mandibular Support Slide 7 Start by fitting the yoke over the supine patients shoulders. The shoulder yokes can be bent to fit the patient and moved medially and laterally by loosening the screws found on the back of the yokes with the supplied Allen wrench. Slide 8 Move the straps so they cross in the back of the patient, being careful not to twist the straps as they cross. Bring around the sides of the patient so they meet at the lower buckles Slide 9 Fasten straps to the lower end of the shoulder yoke with the buckles, tighten to secure chest piece Slide 10 Carefully slide the occipital strut under the patients neck. Slide 11 Place the occipital pad under the patients head and test fit the uprights and the location of the ferrules. Adjust the bend of the uprights to fit in the slots on the chest piece. These can be easily bent by hand. Slide 12 Mark the location for the ferrules. Using the supplied allen wrench adjust the position of the ferrules and retighten securely. Slide 13 Reposition the occipital piece and rotate the latches medially to hold the strut in place. Slide 14 Place the mandibular piece in position and bend the upright and chin sections to fit the patient. Slide 15 Once the mandibular strut is shaped appropriately hold in position. Slide 16 Using the edge of the Allen wrench or a permanent marker, mark the hole for reference. This makes it easier to reposition the strut whenever it is removed. Slide 17 Rotate the locking mechanism medially to secure the mandibalr strut in position. Slide 18 Adjust and tighten the connecting straps on the side of the struts securely. Slide 19 The SOMI is now completely secured to he patient. Slide 20 To assist the patient to sit up place one hand below the neck of the patient and on a three count have the patient sit up while you assist. Slide 21 Picture of how the straps should appear as they cross the back of the patient. Slide 22 Patient in a sitting position Slide 23 Coding Two Poster and SOMI are coded the same: L0190 Slide 24 Special thanks to : Madison Provost Model Sara Provost Photography