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1-33. CERVICAL TRACTION HALTER
a. A canvas head halter is used for treatment of affections of the cervical spine. The halter fits snugly under the chin and around the back of the head against the occipital protuberance. A pulley rope is attached to the spreader bar that hooks to the top of the harness. The prescribed weights at the end of the pulley rope keep the patient's neck and cervical spine in a position specified by the physician.
b. The patient's bed may be positioned in reverse to allow easier access to the patient's head. The head of the bed may be elevated to provide counter traction and to help prevent the patient's head or the spreader bar from resting against the bed frame. When positioning the bed, allow for plenty of room around the head of the bed in order to prevent bumping the weights.
c. Feed the patient slowly and carefully. If turning is not permitted, remind the patient to face forward and not turn toward the spoon, fork, or straw. Allow plenty of time for him to chew and swallow. Check to be certain that the chinstrap is not pressing on his throat. More importantly, keep suction equipment on hand for immediate use to prevent the patient from aspirating when eating, drinking, or receiving mouth care. Remember, if the patient chokes or vomits, he cannot be turned to the side or raised upward.
