bicycle accident

[Handsome Robb]

Is he able to follow my assessment and isn't distracted by the upper extremity injury?

Assuming no gross intoxication is present and he is able to focus on my assessment then no backboard.

 

[EMT B]

If I remember correctly, there are multiple studies debunking MOI as an indicator for spinal precautions.

i dont think i have heard anything about those studies...i do live under a rock though...

EMS called to the scene for the bicycle down. EMS finds a 20 year old male who crashed while riding a road bike. Patient fell and has obvious deformity to his arm. Patient stated that he did hit his head. No loc , neck/ back pain, numbness tinglint. Patient was wearing helmet and is CAOx3. Who would backboard this patient?

any alcohol? any pain or tenderness on palpation of the spine? im assuming csms were normal except for that arm with deformity. there is no alcohol, no pain or tenderness on spinal palpation, no abnormal csms and the arm is not a distracting injury, protocols allow me to say no board.

 

[ZombieEMT]

CPRinProgress - I actually had an interesting conversation with an employee at NJOEMS a few weeks ago and became quite suprised. I was informed that due to the fact that NJ has no state wide medical director, there are no specific state guidlines on what we can do. Instead, your state guidline is to follow what was provided in our EMT training. I brought up a questions (as I previously asked my medical director) as to when to use cspine precautions and longboard and if we can rule it out. PHTLS allows some differences other than basic training. I was not given a clear answer when talking to the state, but they did say follow the training and you will be covered.

 

[NBFFD2433]

If upper arm I might. Depends.