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Spinal Immobilization question

P. Hoffman trauma-list@trauma.org
Fri, 1 Feb 2002 10:21:27 -0500 

I, too, have used a long board for patients who most likely did not need
one.  And, KED (or short board device), as well.  Protocol (yes, I know
these are "guidelines.") dictates this.  I have disregarded protocol in
several cases.  And, in only a few of these have I been questioned by the on
duty Doc or nurse (actually, the most serious chastisement was from a
nurse!).

None the less, given that these long boarding protocols will most likely not
go away soon, what about the possibility of working on the other side of the
equation:

Can we work on making the long boards more tissue friendly?  A thick foam
layer on top?  Do any of the in-hospital people on this list have any
(probably anecdotal) views on the vacuum type full body splints?

If our creed includes "First do no harm," then I guess decubitis kinda fails
here!

Phil Hoffman
EMTP