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Sat, 26 Apr 2003 09:03:46 -0500

I found this study interesting:

Out-of-hospital Spinal Immobilization: Its effect on Neurologic Injury,
Academic Emergency Medicine 1998;5:214-219

Extrapolated that < 2% chance that immobilization has any beneficial effect

Andrew J. Bowman, RN, CEN, CCRN, NREMT-P
Patient Care Coordinator
Education Coordinator (Trauma & Emergency Cardiovascular Care)
Emergency Department
Home Hospital Campus
Greater Lafayette Health Services, Inc.
2400 South Street
Lafayette, Indiana  47904

----- Original Message -----
From: "Aidan Tasker-Lynch" <aidanems@hotmail.com>
To: <trauma-list@trauma.org>
Sent: Saturday, April 26, 2003 7:53 AM
Subject: Re: trauma-list digest, Vol 1 #1809 - 14 msgs

>
> Dear Bjorn,
>
> Sorry, but there have been repeated studies which clearly and definately
> show that LBB's do NOT adequately immobilize patients and yes, as far as
I,m
> concerned bad immobilization techniques have been perpetuated for many
> years, causing goodness knows what damage.
>
> The studies come from both sides of the Atlantic and I even repeated the
> immobilization studies with my group here in the Philippines - our results
> were exactly the same as the other studies:
>
> 1.  Three and a half inches lateral movement with a variety of fairly
> standard strapping procedures.
>
> 2.  Two and a half inches lateral shift even with the extreme stapping
> methods.
>
> I understand your point on cost, but picture the cost of spinal cord
injury
> to our patients and the health system aqnd shouldn't our first question be
> "does it work" - if it doesn't (as in the case of the board) then no
furter
> inquiry is needed. - By the way your quotation of $ 900 is way out MDI's
is
> $350.00.
>
> I would be more than pleased to copy you with some studies and you can
share
> them with your colleagues.
>
> Please forward postal address to: aidanems@hotmail.com
>
> Warmest Regards,
>
> Aidan.
>
>
>
>
>
>
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