Post your studies...

highglyder

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Since the ability to divorce c-collars from LSBs seems to confuse many, especially the rookies (hey, it's not their fault, it's the system's) are led to believed that it's both or none, or that LSBs are a critical intervention, or that people actually drop dead or paralysed after turning the "wrong" way, it would be nice to have easy access to the studies that prove or disprove their efficacy.

Here's a collection that I put together for starters.

https://www.reddit.com/r/ems/comments/33apry/since_we_like_to_talk_about_backboards_so_much/
 

Tigger

Dodges Pucks
Community Leader
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A few years ago I was trying to get a Ski Patrol job and the topic of spinal immobilization came up, as the patrol boarded nearly everyone and director thought that was dumb. Trying to look like a good candidate, I passed the following along. It's from 2013 and not all of the are studies, but it's some good info.

This one talks about cervical spine movement during vehicle extrication with various adjuncts:
http://www.jem-journal.com/article/S0736-4679(12)01075-X/fulltext

Here is an earlier study on the same topic:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2691505/

This blog post from a Connecticut paramedic includes the highlights from the upcoming position statement regarding spinal immobilization from the Association of EMS Physicians. The whole article is excellent and includes some progressive protocols being used by a few Connecticut EMS agencies. The position statement is farther down the page. It should be in print soon.
http://medicscribe.com/2013/02/in-praise-of-cemsmac/

This is the EMS Physicians' position statement from 1999, it has a nice outline of the risks associated with long backboards.
http://www.naemsp.org/Documents/POSITION IndicationsforSpinalImmobilization.pdf

In reference to the scoop stretcher, this one looks at comparing a scoop and backboard. It was sponsored by Ferno so some question its validity but I figure Ferno sells both scoops and backboards so it's not that big of a deal.
http://www.ncbi.nlm.nih.gov/pubmed/16418091

FInally there is this article from the Journal of Emergency Medical Services that does a great job summing up the current research and has a lot of studies listed at the end.
http://www.jems.com/article/patient-care/research-suggests-time-change-prehospital
 

Attachments

  • NAEMSP - EMS SPINAL PRECAUTIONS AND THE USE OF THE LONG BACKBOARD.pdf
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