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Home > List Archives

trauma-list digest, Vol 1 #1809 - 14 msgs

p.bjorn trauma-list@trauma.org
Sun, 27 Apr 2003 08:24:07 -0000


Aidan,

I don't dispute your numbers in the least; but I do wonder where all the
affected patients are.  There are surely millions (billions?) of boarded
patient miles behind us, and I can't find a testimonial, much less a paper,
which demonstrates that conventional spine boards impart real-world risk to
the endangered spinal cord.

And so, to my mind, the issues are comfort and soft tissue breakdown, either
of which can be addressed without expense or complexity.  Teach better
technique, pressure release, and--especially--rapid un-boarding.

Pret



----- Original Message -----
From: "Aidan Tasker-Lynch" <aidanems@hotmail.com>
To: <trauma-list@trauma.org>
Sent: Saturday, April 26, 2003 12:53 PM
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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