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Mon, 14 Apr 2003 18:13:40 +0100

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That is fine so long as there is a way of ensuring the patient is then
secured if they are likely to want to get off the trolley.

-----Original Message-----
From: trauma-list-admin@trauma.org [mailto:trauma-list-admin@trauma.org]
On Behalf Of Tim Coats
Sent: 14 April 2003 15:35
To: trauma-list@trauma.org
Subject: RE: Spine Immobilization

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><SPAN class=3D090081217-14042003><FONT face=3DArial color=3D#0000ff =
size=3D2>That=20
is fine so long as there is&nbsp;a way of ensuring the patient is then =
secured=20
if they are likely to want to get off the trolley.</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV></DIV>
  <DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr =
align=3Dleft><FONT=20
  face=3DTahoma size=3D2>-----Original Message-----<BR><B>From:</B>=20
  trauma-list-admin@trauma.org [mailto:trauma-list-admin@trauma.org] =
<B>On=20
  Behalf Of </B>Tim Coats<BR><B>Sent:</B> 14 April 2003 =
15:35<BR><B>To:</B>=20
  trauma-list@trauma.org<BR><B>Subject:</B> RE: Spine=20
  Immobilization<BR><BR></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN =
class=3D210212514-14042003>In=20
  the UK use of a spinal board as an extrication rather than transport =
device,=20
  and early movement from&nbsp;the spinal board on arrival in the ED are =
going=20
  to be the recommendations of the Southern Spinal Injuries Working =
Group=20
  (launch date for this work 20th May). The full report will be on the=20
  Department of Health website - I will forward the URL as soon as this =
is set=20
  up.</SPAN></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
  class=3D210212514-14042003></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN =
class=3D210212514-14042003>Tim.=20
  Coats.</SPAN></FONT></DIV>
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    <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
    size=3D2>-----Original Message-----<BR><B>From:</B>=20
    trauma-list-admin@trauma.org =
[mailto:trauma-list-admin@trauma.org]<B>On=20
    Behalf Of </B>Andrew J Bowman<BR><B>Sent:</B> 14 April 2003=20
    15:11<BR><B>To:</B> 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,=20
    logroll them carefully off of that backboard (especially if you are =
having a=20
    real busy day/night and the patient may wait a while for =
x-rays).&nbsp;=20
    Their neck remains immobilized in the collar, they are more =
(slightly)=20
    comfortable laying on our 2 inch thick ED cart mattress than the 1 =
inch=20
    thick wooden or plastic long board and they are not yelling out =
every 2=20
    minutes to "GET ME OFF THIS 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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      <DIV style=3D"FONT: 10pt arial"><FONT face=3DArial color=3D#800000 =
size=3D2>&nbsp;=20
      A long board is NOT A TREATMENT; it is a TRANSPORT DEVICE.&nbsp;=20
      </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></BLOCKQUOTE></FONT></BODY></HTML>

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Spine Immobilization