Spinal Immobilization in Trauma Patients – The Facts

There is no high-level evidence that prehospital spinal immobilization positively impacts patient-oriented outcomes Spinal Immobilization Does NOT Help Immobilize the Cervical Spine Spinal Immobilization Does NOT Decrease Rates of Spinal Cord Injury Spinal Immobilization Increases the Difficulty of Airway Management Spinal Immobilization Can Cause Pressure Ulcers Spinal Immobilization Changes the Physical Exam Spinal Immobilization Worsens […]

Pre-hospital Management of Spinal Injuries: Backboard Myths

The Backboard should not be used as a therapeutic intervention. Achieving full spinal immobilization is not possible and its use has been shown to cause patient harm and no benefit. Instead, spinal motion restriction should be practiced. Backboard use has been shown to cause increased pressure ulcers, decreased respiratory function, increased back pain, and result […]

Goodbye C-Collar

Published reports of early secondary neurologic deterioration after blunt spinal trauma are exceptionally rare and generally poorly documented. High-risk features may include altered mental status and ankylosing spondylitis. It is unclear how often events are linked with spontaneous patient movement and whether such events are preventable.

EMS: C-Collars…time to dump them!

Conclusions These data support the findings of the proof of concept study, for haemodynamically stable patients controlled self-extrication causes less movement of the cervical spine than extrications performed using traditional prehospital rescue equipment. read more

Choosing wisely: Unnecessary tests and treatments cost money and harm your patient financially (DO NO HARM)!

Don’t order CT head scans in adults and children who have suffered minor head injuries (unless positive for a head injury clinical decision rule). Don’t prescribe antibiotics in adults with bronchitis/asthma and children with bronchiolitis. Don’t order lumbosacral (low back) spinal imaging in patients with non-traumatic low back pain who have no red flags/pathologic indicators […]

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