C-Spine collars.....best for Prehospital use

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Gregory,

With all respect, you're thinking too much.  It stems from a common
phenomenon I've come to refer to as "Spinal Fixation."  The first step
in recovery is admitting you have a problem.

Prehospital spinal management requires a SPLINT: simple, temporary,
cheap.  There is no evidence that an expensive  plastic Tinker Toy
yields any better outcomes than a carefully wadded 75-cent daily
newspaper.  

Don't be offended; it's just the nature of the task at hand.  Your
objective is to quickly immobilize and transport the patient.  That's
WAY different than that of the ED or inpatient unit, to whom you owe
nothing if up until then you've kept the spine still.  (In our hospital,
no patient with spinal precautions leaves the ED without a Miami-J(R)
collar.  That's sixty-something bucks, non-reusable, and surprisingly
easy to do wrong.  You don't want nor need to rise to that bar.)

Go with something your squad can easily afford, intuitively learn, and
quickly apply.  Don't sacrifice ANY of these objectives to impress or
conform, unless you can reduce preventable cord injury in the
prehospital phase -- which none of the commercial gizmos can claim.

Pret Bjorn, RN
Bangor, ME USA



-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of
msmaltini345 at aol.com
Sent: Thursday, August 14, 2008 9:15 AM
To: trauma-list at trauma.org
Subject: Re: C-Spine collars.....best for Prehospital use





I am currently ordering in stock for our station and would like to get
some input as to you recommendations/thoughts on the following:
1) Using the adjustable collars vs rigid non-adjustable
2) On arrival at ED which seems to do the job best.
3) What would you recommend for pre-hospital use?
4) What is used within your service/area and do you feel they are
effective?


WE USE PERFITACE FROM AMBU. 1 SIZE..MUCH EASIER THAN CARRYING MULTIPLE 
SIZES



-----Original Message-----
From: Hillen Gregory <Gregory.Hillen at oxamb.nhs.uk>
To: trauma-list at trauma.org
Sent: Wed, 13 Aug 2008 11:09 pm
Subject: RE: C-Spine collars.....best for Prehospital use



Dear All,

I am currently ordering in stock for our station and would like to get
some input as to you recommendations/thoughts on the following:
1) Using the adjustable collars vs rigid non-adjustable.
2) On arrival at ED which seems to do the job best.
3) What would you recommend for pre-hospital use?
4) What is used within your service/area and do you feel they are
effective?

I do realise that is up to the training, individual preference, space on
vehicles etc etc but your thoughts would be appreciated.

Regards.
Gregory Hillen
FF/USART/SR Para

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