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Scott McCrea wrote:Nate Skelton was telling us in CO that there is a movement to lessen the use of back boards and neck braces. This is second hand info, but what I got from it was, being gentle can actually be safer than trying to wrangle braces and boards into place.
muddymike wrote:Scott McCrea wrote:Nate Skelton was telling us in CO that there is a movement to lessen the use of back boards and neck braces. This is second hand info, but what I got from it was, being gentle can actually be safer than trying to wrangle braces and boards into place.
I have been hearing the same in EMS trauma symposiums and papers. This very well may be in the future of trauma care. It has been floating around in KY for a while but in EMS while moving the patient we still immobilize. As of recent (5+ years) we do sometimes rule out c-spine injury and only use spine board or split/scoop board for movement to a stretcher. All areas are diffrent some EMS services fully immobilize for an isolated broken leg.
One ER we frequent starts removing all equipment as soon as the injured hits the trauma room, unless a known spinal injury has occurred. I have heard of patients being on immobilized for hours in emergency rooms before they are cleared of injury causing pressure related injuries to tissue.
Nothing is standard for long it seems, I guess that's why it's "practicing medicine"
muddymike wrote:This is an EMS world article from 2012 - Why We Need to Rethink C-Spine Immobilization
http://www.emsworld.com/article/1081373 ... bilization
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