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Wed May 13 11:54:35 BST 2009

I'm sorry.  I get wordy, and evidently you didn't have time to read the
whole missive.

Our antidotal problems with prolonged, uninterrupted long-board
immobilization go back a couple of decades.  They were well prior to the
inauguration of our state trauma system, and thus data was not collected
objectively.  I am forced to trust my recollections, and would ask your
indulgence in doing the same.  Else, we'll have to start over, call
around rural Maine and ask providers to leave folks strapped to the pine
on even days.  I expect our HRC (IRB) would express hesitance.

Further, I think the evidentiary burden is on those who insist on the
intervention; and I am steadfast in my insistence that long boards are
not indicated for patients lying around the ED.  Surely there is little
or no clinical evidence in their favor.  How many patients suffer for
the lack of a spine board in the ED?  Give us numbers, not anecdote.

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of McSwain, Norman E
Jr.
Sent: Tuesday, May 12, 2009 4:48 PM
To: Trauma and Critical Care mailing list
Subject: RE: C-Spine Clearance
byEDTriageNurses_CAUTION-------------------------------

If you have that many pressure ulcers with your large trauma volume then
publish the data. We all want to see it. Antidotal reports do not
address this issue

Norman

Norman McSwain MD
Professor, Tulane School of Medicine
Trauma Director, Charity Hospital Trauma Center
norman.mcswain at tulane.edu
504 988 5111

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