List Archives

Sat Aug 22 18:12:20 BST 2009

Wouldn't it be better for us and the patients we care for if you  
shared the information now?

Typed by my index finger and sent from my iPhone.

Andrew J Bowman
Acute Care Nurse Practitioner
Trauma Nurse Specialist
Paramedic

Witham Health Services
Emergency Department
Lebanon, Indiana
765-485-8500 Work
765-426-4189 Cell
765-485-8509 Fax

Clarian Arnett Hospital
Emergency Department
Lafayette, Indiana
765-838-5100 Work

Keeney Ambulance & Transport Service (KATS)
Staff Educator
Lafayette, Indiana

On Aug 22, 2009, at 12:00, KMATTOX at aol.com wrote:

> My dear friends on trauma-list:
>
> The entire issue of C-spine collars, cervical fractures, cervical
> ligamentous injury, paralysis, and how to diagnosis critical  
> injuries have been
> stuck in the teachings and technology of the 1970.    I have   
> recently been
> doing some literature searches, data analysis, and talking to   
> researchers in
> spinal cord injury.    I predict that we are on  the brink of a MAJOR
> SURPRISE to all of us.    I recently just  dropped my jaw and said,  
> "Well I will be
> damned" after reviewing some startling  research.     Keep your eye  
> out for
> something new to arise  and keep your mind open.      If my first
> impressions  (actually surprises) are born out, I will do all I can  
> do to bring this
> surprise to the Las Vegas Trauma meeting in March.
>
> It takes a lot now days to surprise me and find something really  new.
> This may be it.
>
> k
>
>
> In a message dated 8/21/2009 2:26:00 P.M. Central Standard Time,
> drydok at hotmail.com writes:
>
>
> Subject: Re: C-SPINE CLEARANCE AND ELEVATION OF HOB
>> Sorry if I seem obtuse
>
>
>
> --> It's not you - just the angle of  the bed, when you flex it... ;-)
>
>
>
>> the flexion in a head of  bed raise takes place at the hip. Why  
>> should
> that cause any extra  problems
>
>
>
> --> Actually, it does not. It takes place at a  certain part of the  
> bed,
> not the patient. If the patient then slides down the  bed, as many  
> do, the
> flex point will now move up to the  spine...
>
>
>
> Additionally, you'd have to be really very accurate to  make sure the
> patient only flexed at the hip joint, not the lower  lumbars...
>
>
>
> However, if you are going to strap the patient very  solidly to the  
> bed at
> all levels, so that he/she cannot slide, I suspect you  may be able  
> to get
> away with flexing the bed, but I'm not sure why not just  tilt it  
> straight
> with head up...
>
>
>
> We do, when rarely required,  tild the trauma patient in a straight  
> bed
> with head up (or down). I was not  aware of 30 degrees as a known  
> limit for
> this. Not saying I'd wish to exceed  30, but what is the reason for  
> this number
> being chosen - can anyone  enlighten?
>
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