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Mon, 14 Apr 2003 15:35:13 +0100

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In the UK use of a spinal board as an extrication rather than transport
device, and early movement from the spinal board on arrival in the ED are
going to be the recommendations of the Southern Spinal Injuries Working
Group (launch date for this work 20th May). The full report will be on the
Department of Health website - I will forward the URL as soon as this is set
up.

Tim. Coats.
  -----Original Message-----
  From: trauma-list-admin@trauma.org [mailto:trauma-list-admin@trauma.org]On
Behalf Of Andrew J Bowman
  Sent: 14 April 2003 15:11
  To: trauma-list@trauma.org
  Subject: Re: Spine Immobilization

  Pret,

  Yes, YES, YES!!!

  I have been preaching this for some time.

  Once the patient gets to the ED, logroll them carefully off of that
backboard (especially if you are having a real busy day/night and the
patient may wait a while for x-rays).  Their neck remains immobilized in the
collar, they are more (slightly) comfortable laying on our 2 inch thick ED
cart mattress than the 1 inch thick wooden or plastic long board and they
are not yelling out every 2 minutes to "GET ME OFF THIS F'IN THING"

  Andrew Bowman
      A long board is NOT A TREATMENT; it is a TRANSPORT DEVICE.

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<DIV><FONT color=3D#0000ff face=3DArial size=3D2><SPAN =
class=3D210212514-14042003>In the=20
UK use of a spinal board as an extrication rather than transport device, =
and=20
early movement from&nbsp;the spinal board on arrival in the ED are going =
to be=20
the recommendations of the Southern Spinal Injuries Working Group =
(launch date=20
for this work 20th May). The full report will be on the Department of =
Health=20
website - I will forward the URL as soon as this is set =
up.</SPAN></FONT></DIV>
<DIV><FONT color=3D#0000ff face=3DArial size=3D2><SPAN=20
class=3D210212514-14042003></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#0000ff face=3DArial size=3D2><SPAN =
class=3D210212514-14042003>Tim.=20
Coats.</SPAN></FONT></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV align=3Dleft class=3DOutlookMessageHeader dir=3Dltr><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> =
trauma-list-admin@trauma.org=20
  [mailto:trauma-list-admin@trauma.org]<B>On Behalf Of </B>Andrew J=20
  Bowman<BR><B>Sent:</B> 14 April 2003 15:11<BR><B>To:</B>=20
  trauma-list@trauma.org<BR><B>Subject:</B> Re: Spine=20
  Immobilization<BR><BR></DIV></FONT>
  <DIV><STRONG><FONT face=3DTahoma size=3D2>Pret,</FONT></STRONG></DIV>
  <DIV><STRONG><FONT face=3DTahoma size=3D2></FONT></STRONG>&nbsp;</DIV>
  <DIV><STRONG><FONT face=3DTahoma size=3D2>Yes, YES, =
YES!!!</FONT></STRONG></DIV>
  <DIV><STRONG><FONT face=3DTahoma size=3D2></FONT></STRONG>&nbsp;</DIV>
  <DIV><STRONG><FONT face=3DTahoma size=3D2>I have been preaching this =
for some=20
  time.</FONT></STRONG></DIV>
  <DIV><STRONG><FONT face=3DTahoma size=3D2></FONT></STRONG>&nbsp;</DIV>
  <DIV><STRONG><FONT face=3DTahoma size=3D2>Once the patient gets to the =
ED, logroll=20
  them carefully off of that backboard (especially if you are having a =
real busy=20
  day/night and the patient may wait a while for x-rays).&nbsp; Their =
neck=20
  remains immobilized in the collar, they are more (slightly) =
comfortable laying=20
  on our 2 inch thick ED cart mattress than the 1 inch thick wooden or =
plastic=20
  long board and they are not yelling out every 2 minutes to "GET ME OFF =
THIS=20
  F'IN THING"</FONT></STRONG></DIV>
  <DIV><STRONG><FONT face=3DTahoma size=3D2></FONT></STRONG>&nbsp;</DIV>
  <DIV><STRONG><FONT face=3DTahoma size=3D2>Andrew =
Bowman</FONT></STRONG></DIV>
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MARGIN-RIGHT: 0px; PADDING-LEFT: 5px; PADDING-RIGHT: 0px">
    <DIV style=3D"FONT: 10pt arial"><FONT color=3D#800000 face=3DArial =
size=3D2>&nbsp; A=20
    long board is NOT A TREATMENT; it is a TRANSPORT DEVICE.&nbsp; =
</FONT></DIV>
    <DIV>&nbsp;</DIV>
    <DIV><FONT face=3DArial size=3D2><STRONG><FONT=20
    =
face=3DTahoma></FONT></STRONG><BR><BR><BR>&nbsp;</DIV></BLOCKQUOTE></BLOC=
KQUOTE></FONT></BODY></HTML>

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Spine Immobilization