Spinal motion restriction: an educational and implementation program to redefine prehospital spinal assessment and care

Autor: Karl A. Sporer, Elsie R. Kusel, James F. Morrissey
Rok vydání: 2014
Předmět:
Program evaluation
Adult
Male
medicine.medical_specialty
Emergency Medical Services
transportation of patients
Clinical Sciences
Allied Health Personnel
Nursing
Neurodegenerative
Emergency Nursing
Emergency Care
Patient safety
Immobilization
Injury Severity Score
Injury - Trauma - (Head and Spine)
Clinical Research
medicine
Humans
cervical vertebrae/injuries
Spinal Cord Injury
business.industry
immobilization/methods
Protective Devices
Health Plan Implementation
Health Services
medicine.disease
Emergency & Critical Care Medicine
United States
emergency medical services/methods
Quality Education
emergency medical technicians
Emergency Medical Technicians
Transportation of Patients
Spinal Injuries
Injury (total) Accidents/Adverse Effects
Emergency Medicine
Physical therapy
Public Health and Health Services
Cervical Vertebrae
spinal motion restriction
Cervical collar
Female
Medical emergency
Patient Safety
business
spinal injuries/therapy
Program Evaluation
Zdroj: Morrissey, JF; Kusel, ER; & Sporer, KA. (2014). Spinal motion restriction: An educational and implementation program to redefine prehospital spinal assessment and care. Prehospital Emergency Care, 18(3), 429-432. doi: 10.3109/10903127.2013.869643. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/0sx1p4v0
Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, vol 18, iss 3
Prehospital emergency care, vol 18, iss 3
ISSN: 1545-0066
DOI: 10.3109/10903127.2013.869643.
Popis: 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. The training addressed the potential complications of the use of the unpadded backboard and education was provided about the mechanics of spine injuries. Emergency medical services (EMS personnel were taught to differentiate between the critical multisystem trauma patients from the more common moderate, low kinetic energy trauma patients. A comprehensive education and outreach program that included all of the EMS providers (fire and private), hospitals, and EMS educational institutions was developed. Results. Within 4 months of the policy implementation, prehospital care practitioners reduced the use of the backboard by 58%. This was accomplished by a decrease in the number of patients considered for SMR with low kinetic energy and the use of other methods, such as the cervical collar only. Conclusion. The implementation of a SMR training program significantly decreases the use of backboards and allows alternative methods of maintaining spine precautions.
Databáze: OpenAIRE
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