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I agree completely that the backboard needs to come off early in the A&E
phase of the patient's care. However, it is important to remember that
the backboard is a useful adjunct in maintaining the patient's airway -
the properly immobilised patient can be turned into a lateral position
very quickly if they start to vomit - something that is lost when the
patient is taken off the board and strapped to a trolley (when usually
only the head is secured)
 
.which leads to a question - in the conscious patient, with a minor head
injury and alcohol (i.e. a potential for nausea and vomiting but no
immediate indication for intubation) would anyone routinely administer
an anti-emetic, and if so, which one?
 
 
Neil Thomson
e          dr.n.thomson at btopenworld.com
 

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