The American Red Cross Lifeguard Training curriculum is currently advocating a sub-standard procedure for the immobilization of suspected spinal injured patients in shallow or deep water. This issue is being presented to solicit the opinions of other Lifeguard and EMS personnel, instructors, and administrators.
www.lifesaving.com/issues/articles/25sipnal_immobilizat... www.lifesaving.com/issues/articles/25sipnal_immobilization.html
Operational Medicine 2001; Spinal Immobilization ... A normal healthy spinal column can be severely stressed and maintain its integrity without damage to the spinal cord. However, certain mechanism of trauma can overcome the protective ... Goal of Spinal Immobilization: IMMOBILIZE THE SPINE AND PREVENT FURTHER HARM...
www.brooksidepress.org/Products/OperationalMedicine/DAT... www.brooksidepress.org/Products/OperationalMedicine/DATA/operationalmed/Procedures/SpinalImmobilization.htm
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Few articles have directly evaluated the effect of pre-hospital spinal immobilization on neurological outcome after injury. Several Class III evidence reports cite the lack of immobilization as a cause of neurological deterioration among acutely injured trauma patients transported to medical facilities for definitive care.
www.spineuniverse.com/pdf/traumaguide/1.pdf www.spineuniverse.com/pdf/traumaguide/1.pdf
OBJECTIVE: To evaluate the effects of spinal immobilization on healthy participants. ... Adverse effects of spinal immobilization included a significant increase in respiratory effort, skin ischemia, pain, and discomfort. CONCLUSIONS: Data from this review provide the best available evidence to support the well...
www.medscape.com/medline/abstract/15748015
The Medscape Journal ... Allergy & Clinical Immunology ... Diabetes & Endocrinology...
www.medscape.com/medline/abstract/16395778
2. Field personnel should follow the recommended immobilization procedure for spinal immobilization contained in the Basic Trauma Life Support (BTLS), Prehospital Trauma Life; Support (PHTLS), or Pediatric Education for Prehospital Personnel (PEPP).
www.acgov.org/ems/Resource_policy_manual/Spinal_immobil... www.acgov.org/ems/Resource_policy_manual/Spinal_immobilization.pdf
Every year we see hundreds of patients with suspected spinal injuries or who require precautionary spinal immobilization. A tiny weeny percentage of these are proven to have any actual lasting damage. Complacency however, is not an option.
www.impactednurse.com/?p=65
1. Prehospital spinal immobilization prevents spinal cord injury. 2. Manual cervical stabilization is always required until a cervical collar is applied. 3. Cervical collars alone are inadequate to prevent cervical movement.
www.emsresponder.com/features/article.jsp?siteSection=2... www.emsresponder.com/features/article.jsp?siteSection=20&id=3437
Trauma Technologies, Inc., Lake City, PA, has developed changes and additions to the process of spinal immobilization by altering the contour of the backboard and adding a true pressure relief system. The Trauma 1000 backboard is designed with larger adults and children in mind.
www.emsresponder.com/web/online/Industry-Wire---New-Pro... www.emsresponder.com/web/online/Industry-Wire---New-Products/Pressure-Pain-and-Spinal-Immobilization/11$10344
In most cases padding is necessary to maintain the cervical spine in neutral alignment during immobilization. Place a pad under the occiput of an adult to prevent extension and under the torso of a young child or infant to prevent flexion. ... Home > Our Product Solutions > Spinal Immobilization...
www.laerdal.com/nav/7160016/Spinal-Immobilization.html www.laerdal.com/nav/7160016/Spinal-Immobilization.html