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https://www.readbyqxmd.com/read/27422216/effects-of-spinal-immobilization-at-20%C3%A2-on-respiratory-functions
#1
Şaban Akkuş, Şeref Kerem Çorbacıoğlu, Yunsur Çevik, Emine Akıncı, Hüseyin Uzunosmanoğlu
PURPOSE: The purpose of the study is to investigate whether spinal immobilization with a long backboard (LBB) and semirigid cervical collar (CC) at 20° instead of 0° conserve pulmonary functions, including forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio. METHODOLOGY: The study included 56 adult healthy volunteers. Volunteers were randomly divided into 2 groups, and those in the first group (group 1) had LBBs and CCs applied at 0° (n=30), whereas volunteers in the second group (group 2) had LBBs and CCs applied at 20° (n=26)...
July 1, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24559236/ems-spinal-precautions-and-the-use-of-the-long-backboard-resource-document-to-the-position-statement-of-the-national-association-of-ems-physicians-and-the-american-college-of-surgeons-committee-on-trauma
#2
Chelsea C White, Robert M Domeier, Michael G Millin
Field spinal immobilization using a backboard and cervical collar has been standard practice for patients with suspected spine injury since the 1960s. The backboard has been a component of field spinal immobilization despite lack of efficacy evidence. While the backboard is a useful spinal protection tool during extrication, use of backboards is not without risk, as they have been shown to cause respiratory compromise, pain, and pressure sores. Backboards also alter a patient's physical exam, resulting in unnecessary radiographs...
April 2014: Prehospital Emergency Care
https://www.readbyqxmd.com/read/24548084/spinal-motion-restriction-an-educational-and-implementation-program-to-redefine-prehospital-spinal-assessment-and-care
#3
James F Morrissey, Elsie R Kusel, Karl A Sporer
INTRODUCTION: Prehospital spine immobilization has long been applied to victims of trauma in the United States and up to 5 million patients per year are immobilized mostly with a cervical collar and a backboard. OBJECTIVE: The training of paramedics and emergency medical technicians on the principals of spine motion restriction (SMR) will decrease the use of backboards. METHODS: The training for SMR emphasized the need to immobilize those patients with a significant potential for an unstable cervical spine fracture and to use alternative methods of maintaining spine precautions for those with lower risk...
July 2014: Prehospital Emergency Care
https://www.readbyqxmd.com/read/23746392/long-backboard-versus-vacuum-mattress-splint-to-immobilize-whole-spine-in-trauma-victims-in-the-field-a-randomized-clinical-trial
#4
RANDOMIZED CONTROLLED TRIAL
Babak Mahshidfar, Mani Mofidi, Ali-Reza Yari, Saied Mehrsorosh
INTRODUCTION: Patients with possible spinal injury must be immobilized properly during transport to medical facilities. The aim of this research was comparing spinal immobilization using a long backboard (LBB) with using a vacuum mattress splint (VMS) in trauma victims transported by an Emergency Medical Services (EMS) system. METHODS: In this randomized clinical trial, 60 trauma victims with possible spinal trauma were divided to two groups, each group immobilized with one of the two instruments...
October 2013: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/23458580/ems-spinal-precautions-and-the-use-of-the-long-backboard
#5
(no author information available yet)
This is the official position of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma regarding emergency medical services spinal precautions and the use of the long backboard.
July 2013: Prehospital Emergency Care
https://www.readbyqxmd.com/read/22302639/acute-treatment-options-for-spinal-cord-injury
#6
Manjunath Markandaya, Deborah M Stein, Jay Menaker
OPINION STATEMENT: Most treatment options for acute traumatic spinal cord injury (SCI) are directed at minimizing progression of the initial injury and preventing secondary injury. Failure to adhere to certain guiding principles can be detrimental to the long-term neurologic and functional outcome of these patients. Therapy for the hyperacute phase of traumatic SCI focuses on stabilizing vital signs and follows the Advanced Trauma Life Support (ATLS) algorithm for ensuring stability of airway, breathing and circulation, and disability (neurologic evaluation)-with spinal stabilization-and exposure...
February 3, 2012: Current Treatment Options in Neurology
https://www.readbyqxmd.com/read/21644085/effects-of-spinal-immobilization-devices-on-pulmonary-function-in-healthy-volunteer-individuals
#7
Didem Ay, Can Aktaş, Sabiha Yeşilyurt, Sezgin Sarıkaya, Aslı Cetin, Emine Sevda Ozdoğan
BACKGROUND: We aimed to investigate the effects of spinal immobilization devices on pulmonary functions. METHODS: This study was a cross-over trial in healthy volunteer subjects; 60 volunteers were included. We performed a full spirometry in the supine position, and forced vital capacity (FVC), forced expiratory volume in one second (FEV1) and FEV1/FVC were recorded in all subjects. Then, Philadelphia type cervical collar (Philly) and Kendrick extrication device (KED) were applied to all subjects...
March 2011: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/20825784/revolutionary-advances-in-enhancing-patient-comfort-on-patients-transported-on-a-backboard
#8
Richard F Edlich, Shelley S Mason, Rober J Vissers, K Dean Gubler, John G Thacker, Paul Pharr, Mark Anderson, William B Long
BACKGROUND: Patients with suspected spinal cord injuries are immobilized to a backboard during ambulance and helicopter air transport. It has been well documented that patients who are immobilized to a backboard experience discomfort and eventually become susceptible to pressure ulcer formation. Because the patient lying on a backboard is subjected to high skin interface pressures, it is imperative to improve patient comfort and prevent pressure ulcer formation. OBJECTIVE: Realizing the dangers of the potentially preventable pressure ulcers, our team of scientists, surgeons, and trauma nurses performed a comprehensive study of the Back Raft system that was designed to reduce patient discomfort and skin interface pressure...
February 2011: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/20550141/supramolecular-architectures-on-surfaces-formed-through-hydrogen-bonding-optimized-in-three-dimensions
#9
Miao Yu, Nataliya Kalashnyk, Wei Xu, Régis Barattin, Youness Benjalal, Erik Laegsgaard, Ivan Stensgaard, Mohamed Hliwa, Xavier Bouju, André Gourdon, Christian Joachim, Flemming Besenbacher, Trolle R Linderoth
Supramolecular self-assembly on surfaces, guided by hydrogen bonding interactions, has been widely studied, most often involving planar compounds confined directly onto surfaces in a planar two-dimensional (2-D) geometry and equipped with structurally rigid chemical functionalities to direct the self-assembly. In contrast, so-called molecular Landers are a class of compounds that exhibit a pronounced three-dimensional (3-D) structure once adsorbed on surfaces, arising from a molecular backboard equipped with bulky groups which act as spacer legs...
July 27, 2010: ACS Nano
https://www.readbyqxmd.com/read/17613902/prehospital-spinal-immobilization-and-the-backboard-quality-assessment-study
#10
Charles Andrew Peery, Jane Brice, William D White
INTRODUCTION: Prehospital spinal immobilization (PSI) for patients with suspected spinal injury has been the universal standard of practice for emergency medical services (EMS) in the United States since the early 1970s. PSI research has faced numerous methodological difficulties, including an inability to evaluate whether the immobilizations being studied were carried out appropriately. The purpose of this study was to assess the quality of spinal immobilization to a long spine board in patients presenting via EMS to an emergency department (ED)...
July 2007: Prehospital Emergency Care
https://www.readbyqxmd.com/read/16418091/comparison-of-the-ferno-scoop-stretcher-with-the-long-backboard-for-spinal-immobilization
#11
COMPARATIVE STUDY
Julie M Krell, Matthew S McCoy, Patrick J Sparto, Gretchen L Fisher, Walt A Stoy, David P Hostler
OBJECTIVES: Spinal immobilization is essential in reducing risk of further spinal injuries in trauma patients. The authors compared the traditional long backboard (LBB) with the Ferno Scoop Stretcher (FSS) (Model 65-EXL). They hypothesized no difference in movement during application and immobilization between the FSS and the LBB. METHODS: Thirty-one adult subjects had electromagnetic sensors secured over the nasion (forehead) and the C3 and T12 spinous processes and were placed in a rigid cervical collar, with movement recorded by a goniometer (a motion analysis system)...
January 2006: Prehospital Emergency Care
https://www.readbyqxmd.com/read/12954698/comparison-of-a-long-spinal-board-and-vacuum-mattress-for-spinal-immobilisation
#12
COMPARATIVE STUDY
M D Luscombe, J L Williams
OBJECTIVES: This study was designed to compare the stability and comfort afforded by the long spinal board (backboard) and the vacuum mattress. METHODS: Nine volunteers wearing standardised clothing and rigid neck collars were secured on to a backboard and vacuum mattress using a standard strapping arrangement. An operating department table was used to tilt the volunteers from 45 degrees head up to 45 degrees head down, and additionally 45 degrees laterally. Movements of the head, sternum, and pubic symphysis (pelvis) from a fixed position were then recorded...
September 2003: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/12431281/cervical-spine-immobilization-before-admission-to-the-hospital
#13
(no author information available yet)
STANDARDS: There is insufficient evidence to support treatment standards. GUIDELINES: There is insufficient evidence to support treatment guidelines. OPTIONS: All trauma patients with a cervical spinal column injury or with a mechanism of injury having the potential to cause cervical spine injury should be immobilized at the scene and during transport by using one of several available methods. A combination of a rigid cervical collar and supportive blocks on a backboard with straps is effective in limiting motion of the cervical spine and is recommended...
March 2002: Neurosurgery
https://www.readbyqxmd.com/read/12385610/changes-in-physical-examination-caused-by-use-of-spinal-immobilization
#14
Juan A March, Stephen C Ausband, Lawrence H Brown
UNLABELLED: The standard of care for patients following blunt trauma includes midline palpation of vertebrae to rule out fractures. Previous studies have demonstrated that spinal immobilization does cause discomfort. OBJECTIVE: To determine whether spinal immobilization causes changes in physical exam findings over time. METHODS: This was a single-blinded, prospective study at a tertiary care university teaching hospital. Twenty healthy volunteers without previous back pain or injuries, 13 male and seven female, were fully immobilized for one hour, with a cervical collar and strapped to a long wooden backboard...
October 2002: Prehospital Emergency Care
https://www.readbyqxmd.com/read/11501268/wipeout
#15
O J Dominguez
When prehospital providers transported this patient to the trauma center, they felt a bit awkward, to say the least. The patient appeared to be intoxicated, and had fallen from approximately three feet. Nevertheless, upon EMS' arrival, the patient was responding only to painful stimuli and was not moving his lower extremities. This prompted EMS to activate the trauma system and treat the patient accordingly: He was immobilized on a long backboard. During transport, however, the patient became responsive to verbal stimuli and began moving his lower extremities...
August 2001: Emergency Medical Services
https://www.readbyqxmd.com/read/11239259/prehospital-midthigh-trauma-and-traction-splint-use-recommendations-for-treatment-protocols
#16
N R Abarbanell
The present study was completed to establish an epidemiologic database defining the prehospital occurrence of midthigh trauma/suspected femoral shaft fractures, and the use of/need for traction splints (TS) in hope of developing recommendations for further treatment protocols. On review of 4,513 paramedic run reports for the 12-month period from January 1999 through December 1999, from a low-volume urban emergency medical services (EMS) system, 16 persons (0.35% total patients) presented with midthigh injuries...
March 2001: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/8933323/a-review-of-spinal-immobilization-techniques
#17
REVIEW
R A De Lorenzo
Immobilization of the spine is an important skill for all emergency providers. This article reviews the literature regarding the equipment, adjuncts, and techniques involved in spinal immobilization. Current prehospital practice is to apply spinal immobilization liberally in cases of suspected neck or back injury. Rigid cervical collars, long backboards, and straps remain the standard implements for immobilizing supine patients. Tape, foam blocks, and towels can complement the basic items and improve stability...
September 1996: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/8432242/prehospital-care
#18
REVIEW
T H Blackwell
To improve patient outcome and reduce time at the scene, treatment protocols for specific injuries and rapid transport should be established with individual systems. These standards should be based on such parameters as history, mechanism of injury, physiologic status of the patient on arrival, triage criteria, and predicted transport times. Ensuring airway patency and stability is a vital function that must be rapidly and carefully performed. Any patient at risk for neck or back trauma needs to be immobilized quickly using a rigid cervical collar with head immobilizer and long backboard...
February 1993: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/3336621/modification-of-sitting-posture-of-patients-with-hemiplegia-using-seat-boards-and-backboards
#19
COMPARATIVE STUDY
D F Borello-France, R G Burdett, Z L Gee
The purpose of this study was to evaluate and compare the effects of using seat boards only and a combination of seat boards and backboards on wheelchair posture. Forty-one patients with hemiplegia secondary to cerebrovascular accidents were assigned sequentially to 1) a group that used seat boards only (SB Group), 2) a group that used both seat boards and backboards (SBB Group), or 3) a group that used no boards (Control Group). The SB and SBB Groups used the boards throughout rehabilitation. Wheelchair sitting posture was measured at entry to and discharge from the rehabilitation program...
January 1988: Physical Therapy
https://www.readbyqxmd.com/read/1300064/-anesthesia-of-patients-with-injury-to-the-cervical-spine
#20
O Moeschler, P Ravussin
This paper reviews the principal aspects of the immediate management of patients suffering from spinal injury. An understanding of the pathophysiology of primary and secondary spinal cord injury enables appropriate initial care to be provided, thereby avoiding exacerbation and/or progressive deterioration of the lesion. It includes protective measures, restoration of vital functions to maintain adequate tissue perfusion and oxygenation, as well as pharmacological prevention of secondary injury. Protective measures include proper immobilisation of the spine with a semi-rigid collar and tape on a long backboard, or on vacuum mattress, taking great care to avoid deleterious in-line compression forces on the spinal column...
1992: Annales Françaises D'anesthèsie et de Rèanimation
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