List Archives

Tue, 23 Jul 2002 09:02:26 +1200

Dear Emma,

What policy are you writing?? Spinal care, c-spine clearance, alcohol and spinal
clearance???

We have a well defined spinal clearance policy (among others) which requires
patients to be "not intoxicated". We have left that definition to the clinicians
involved rather than any arbitrary lab measurement.

Check the website: www.trauma.co.nz

Ian Civil

Emma Whiteford wrote:

> Hi I am a nurse educator in auckland new zealand also presently writing a
> hospital policy for the spinal patient ,we have not thought about this
> problem but I will look into what we do here in our trauma unit and the
> emergency dept.
>
> Emma Whiteford
> Clinical Nurse Educator for Neuroservices.
> Auckland Hospital,
> pager 93-4187,ext 7844.
>
> > -----Original Message-----
> > From: Whitney.Erickson@tmcaz.com [SMTP:Whitney.Erickson@tmcaz.com]
> > Sent: Tuesday, 23 July 2002 02:21
> > To:   trauma-list@trauma.org
> > Subject:      C-spine clearance and ETOH
> >
> > I am in the process of writing a protocol for c-spine clearance in our
> > facility. The literature all states that patients should be free from
> > intoxication, but does not define the process. Historically, if someone
> > comes
> > in with an elevated blood alcohol level, we use the standard "BAL drops 30
> > an
> > hour," but I can't find any literature to support this. Should we
> > calculate
> > 30/hr and then re-draw the level? Or is there literature out there I am
> > missing. Thanks in advance for your help,
> >
> > Whitney Erickson, RN, MNSc, CCRN
> > Trauma Clinical Nurse Leader
> > Tucson Medical Center
> > Tucson, AZ
> >
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C-spine clearance and ETOH