Log Roll Pelvic Injury

[firetender]

I apologize for calling you out, it was wrong of me. That said, I see "drug seeking" used more as an excuse for people NOT to do their jobs more often than not.

I have no problem being called out, and there was no "wrong" to it. I can learn from you, too, you know and sometimes I need a kick in the ***.

And you ARE right. I know what it's like to want to withhold pain meds from a junkie because "Hey, all those times you scammed me over nothing? Here's what pain really feels like!" That's worse than laziness but it goes on.

 

[Ravemtech]

Getting back to the alternatives to a log roll, here is a link to a photographic guide to the side straddle lift http://www.neann.com/lsb4a.htm - video http://www.youtube.com/watch?v=jLGhi_7D31Q ( taken from a free downloadable manual on spinal care at http://www.neann.com/psc.pdf ). This technique is an excellent alternative to the log roll especially if no Scoop is available. A number of recent studies have shown less movement with this than a log roll, and it places very little pressure on the pelvis (ref 1-2).

Just remember, you must pad the Board to resolve discomfort and pressure sore development .... http://www.neann.com/Board Confort Studies.pdf Althought the document is put out by a company selling a Board pad, the studies are all independent. Once a Board is padded, the need to remove the Board are resolved and it can be used as a transport / splinting device without pain and pressure sores so often quoted by studies undertaken on unpadded Boards.


Ref

1. J Athl Train. 2008 Jan-Mar;43(1):6-13. The 6-plus-person lift transfer technique compared with other methods of spine boarding. Del Rossi G, Horodyski MH, Conrad BP, Di Paola CP, Di Paola MJ, Rechtine GR

2. Spine (Phila Pa 1976). 2008 Jun 15;33(14):1611-5. Transferring patients with thoracolumbar spinal instability: are there alternatives to the log roll maneuver? Del Rossi G, Horodyski M, Conrad BP, Dipaola CP, Dipaola MJ, Rechtine GR

 

[Melclin]

Getting back to the alternatives to a log roll, here is a link to a photographic guide to the side straddle lift http://www.neann.com/lsb4a.htm - video http://www.youtube.com/watch?v=jLGhi_7D31Q ( taken from a free downloadable manual on spinal care at http://www.neann.com/psc.pdf ). This technique is an excellent alternative to the log roll especially if no Scoop is available. A number of recent studies have shown less movement with this than a log roll, and it places very little pressure on the pelvis (ref 1-2).

Just remember, you must pad the Board to resolve discomfort and pressure sore development .... http://www.neann.com/Board Confort Studies.pdf Althought the document is put out by a company selling a Board pad, the studies are all independent. Once a Board is padded, the need to remove the Board are resolved and it can be used as a transport / splinting device without pain and pressure sores so often quoted by studies undertaken on unpadded Boards.


Ref

1. J Athl Train. 2008 Jan-Mar;43(1):6-13. The 6-plus-person lift transfer technique compared with other methods of spine boarding. Del Rossi G, Horodyski MH, Conrad BP, Di Paola CP, Di Paola MJ, Rechtine GR

2. Spine (Phila Pa 1976). 2008 Jun 15;33(14):1611-5. Transferring patients with thoracolumbar spinal instability: are there alternatives to the log roll maneuver? Del Rossi G, Horodyski M, Conrad BP, Dipaola CP, Dipaola MJ, Rechtine GR

I've never heard of or seen the side straddle lift. It look fantastic and makes good, intuitive sense too. Thanks for that link. Log rolls have always bothered me a little. I'm certainly going to put more thought into it and have a good read of some of that immobilisation literature from John Till.

 

[clibb]

Towel tie pelvic area since she's complaining of hip pain. C-spine and scoop.

 

[Ravemtech]

I've never heard of or seen the side straddle lift. It look fantastic and makes good, intuitive sense too. Thanks for that link. Log rolls have always bothered me a little. I'm certainly going to put more thought into it and have a good read of some of that immobilisation literature from John Till.

Hi Melclin,

No worries.

Who did your spinal training during your course. The Straddle lift is part of Ambulance Victoria spinal teaching and was introduced in 1995 as part of the Spinal program. The manual "A photographic Guide To Prehospital Spinal Care" http://www.neann.com/psc.pdf was issued to all Ambulance students from 1995 until 2006 at the AOTC and then MUCAPS. The straddle lift was taught as part of the course.