This is a review of the literature on the use of cervical collars and on long backboards (lbbs) to achieve spinal immobilization in trauma patients this is a review of the literature on the use of cervical collars and on long backboards (lbbs) to achieve spinal immobilization in trauma patients. Currently, spinal immobilization is one of the most frequently performed procedures in the prehospital care of acute trauma patientsinnorthamerica 9,11-13,15-17,19,25,53,59 although clinical. Previously, the terms spinal immobilization and restriction have both been used to describe the act of preventing movement of the spine spinal motion restriction is defined as attempting to maintain the spine in anatomic alignment and minimizing gross movement irrespective of adjuncts or devices. Spinal immobilization is initiated on a regular basis in pre-hospital setting for patients at risk of a spinal cord injury in the past immobilization has been thought to be a relatively harmless procedure. The firerescue1 spinal immobilization product category is a collection of information, product listings and resources for researching patient transport, ems supplies, and backboards this category.
If spinal immobilization is indicated but refused by the patient: advise the patient of the indication for immobilization, and the risks of refusing the intervention if the patient allows, apply the cervical collar even if backboard is refused. This emt training video will help you prepare for the nremt's practical exam station, spinal immobilization (supine patient) more emt training can be found a. Spinal immobilization of all trauma patients with a cervical spine or spinal cord injury or with a mechanism of injury having the potential to cause cervical spinal injury is recommended. While the data to support spinal immobilization are weak, there is an increasing amount of evidence noting potential risks and morbidity associated with spinal immobilization spinal immobilization has been used to prevent aggravating spinal cord injury.
Background the first recommendations for spinal immobilization following blunt trauma came from the american academy of orthopaedic surgeons in 1971 1 these guidelines called for spinal immobilization of patients with symptoms or physical findings suggestive of spinal injuries 1,2 since then, recommendations for spinal immobilization have evolved considerably. Page 1 of 7 pre-hospital spinal immobilisation: an initial consensus statement d connor, k porter, m bloch, i greaves on behalf of the consensus group. 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.
Immobilization on a long spine board is not necessary where: penetrating trauma to the head, neck or torso with no signs / symptoms of spinal injury concerning mechanisms that may result in spinal column injury. They reported that early (8-24 hours) transfer of patients with spinal injury to spinal care units, along with effective resuscitation, was the most important determinant of better neurological outcomes 41 this review reaffirms the need for more data evaluating the relationship between spinal immobilization and neurological outcomes. Immobilization is typically performed to prevent or minimize secondary damage to the spinal cord if instability of the spinal column is suspected due to increasing reports about disadvantages of spinal immobilization, the indications for performing spinal immobilization must be refined.
As part of the training minutes video series - tutorial on how to apply full spinal immobilization using a long backboard fairfax county fire & rescue department via the fairfax county. Such is the case with prehospital spinal immobilization i entered the world of ems in 1974 and worked in a busy ems system until i entered medical school in 1983 during that era we used. Clinical indications: last update 02/2009 need for spinal immobilization as determined by protocol procedure: 1 gather a backboard, straps, c-collar appropriate for patien's size, tape, and head rolls or similar device to secure the head. A canadian study found spinal immobilization techniques during simulated vehicle motion to be generally ineffective 4 a 1998 tennessee-based study examined the commonly used aspen cervical collar and concluded “full cervical immobilization is a myth” 5 [2.
Spinal immobilization (seated) we want to prepare you, not only for the nremt written exam , but also for the practical skills tests this is one of the least used pieces of equipment in the field, but is part of the testing, so we need to be proficient with it. A spinal board, is a patient handling device used primarily in pre-hospital trauma care it is designed to provide rigid support during movement of a person with suspected spinal or limb injuries [5. Take home points: the use of backboards have been the main method for spinal immobilization of potential spinal cord injuries unfortunately, there has never been a study that demonstrated the efficacy of the backboard in preventing spinal cord injury.