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POSITION STATEMENT EMS SPINAL PRECAUTIONS AND THE USE OF THE LONG BACKBOARD National Association of EMS Physicians and American College of Surgeons Committee on Trauma. 2013 |
RESTRICCIÓN DE MOVIMIENTO ESPINAL EN EL PACIENTE DE TRAUMA Agosto 2018
- · Long backboards are commonly used to attempt to provide rigid spinal immobilization among emergency medical services (EMS) trauma patients. However, the benefit of long backboards is largely unproven.
- · The long backboard can induce pain, patient agitation, and respiratory compromise. Further, the backboard can decrease tissue perfusion at pressure points, leading to the development of pressure ulcers.
- Appropriate patients to be immobilized with a backboard may include those with:
- Patients for whom immobilization on a backboard is not necessary include those with all of the following:
- Patients with penetrating trauma to the head, neck, or torso and no evidence of spinal injury should not be immobilized on a backboard.
- Spinal precautions can be maintained by application of a rigid cervical collar and securing the patient firmly to the EMS stretcher, and may be most appropriate for:
- ·Whether or not a backboard is used, attention to spinal precautions among at-risk patients is paramount. These include application of a cervical collar, adequate security to a stretcher, minimal movement/transfers, and maintenance of inline stabilization during any necessary movement/ transfers.
- Education of field EMS personnel should include evaluation of the risk of spinal injury in the context of options to provide spinal precautions.
- Protocols or plans to promote judicious use of long backboards during prehospital care should engage as many stakeholders in the trauma/EMS system as possible.
- Patients should be removed from backboards as soon as practical in an emergency department.
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POSITION STATEMENT EMS SPINAL PRECAUTIONS AND THE USE OF THE LONG BACKBOARD National Association of EMS Physicians and American College of Surgeons Committee on Trauma. 2013 |
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