Home > Archive > Emergency services > January 2005 > Xign Spine Board Straps YES? or NO?





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Author Xign Spine Board Straps YES? or NO?
Wayne Purchase

2005-01-06, 7:14 pm

Does anyone out there know of any studies or articles published dealing
with the strapping of patients to spine boards?

I read an article in EMS mag. titled "Immobilization Errors in EMS", which
says, "Avoid crisscrossing straps from the upper chest to pelvic area. This
"x" configuration does not secure the patient properly and is not
recommended."
I can see how this would/could be correct, however I am looking for
research into this area. I would greatly appreciate your input or help in
this matter.

Thanks for your help,
Wayne A. Purchase


Brian Humphrey

2005-01-06, 10:08 pm

"Carey Gregory" <tiredofspam123@comcast.net> wrote...

> I very seriously doubt if anyone's done research on this, but if they
> have,
> I would think the author of that article would be (should be) the one to
> know about it.


Though I don't know anyone who has done a study specific to the backwoods
practice of crossing
straps, I do recall that a former LAFD Paramedic, Dr. Baxter Larmon (PhD,
MICP), currently Director of the Center for Prehospital Care and Professor
at the UCLA School of Medicine, performed an exhaustive and scientifically
valid study on prehospital spinal immobilization many years ago.

Possibly you can find some information or contacts here:

http://www.pcrf.mednet.ucla.edu

http://cpc.mednet.ucla.edu


Regards,

Brian Humphrey
Firefighter/Paramedic
Public Information Officer
Los Angeles Fire Department

E-Mail: beh9593@lafd.lacity.org
LAFD Website: http://www.lafd.org


John Filangeri

2005-01-07, 7:12 pm

As far as spine boards go, just about everyone in EMS will pontificate about
how you must do it this way or that. But, the sad truth of the matter is
that there is no research to back any of this up. In fact, the only study
comparing spine boards with no spine boards found that patients immobilized
on spine boards were more likely to wind up paralyzed.

Don't you just love it.

John


"Wayne Purchase" <wayne_a_purchase@hotmail.com> wrote in message
news:ZuvCd.203905$Np3.8565713@ursa-nb00s0.nbnet.nb.ca...
> Does anyone out there know of any studies or articles published dealing
> with the strapping of patients to spine boards?
>
> I read an article in EMS mag. titled "Immobilization Errors in EMS", which
> says, "Avoid crisscrossing straps from the upper chest to pelvic area.
> This "x" configuration does not secure the patient properly and is not
> recommended."
> I can see how this would/could be correct, however I am looking for
> research into this area. I would greatly appreciate your input or help in
> this matter.
>
> Thanks for your help,
> Wayne A. Purchase
>



Brian Humphrey

2005-01-07, 7:12 pm

"John Filangeri" <JohnFilangeri@att.net> wrote...

> But, the sad truth of the matter is that there is no research to back any
> of this up.


I made mention in an earlier post of but one study by the Prehospital
Research staff at UCLA.

> In fact, the only study comparing spine boards with no spine boards found
> that patients immobilized on spine boards were more likely to wind up
> paralyzed.


John, can you point us in the direction of this "only study" you are
referring to?

Regards,

Brian Humphrey
Firefighter/Paramedic
Public Information Officer
Los Angeles Fire Department

E-Mail: beh9593@lafd.lacity.org
LAFD Website: http://www.lafd.org


John Filangeri

2005-01-09, 11:13 am

As far as spine boards go, just about everyone in EMS will pontificate about
how you must do it this way or that. But, the sad truth of the matter is
that there is no research to back any of this up. In fact, the only study
comparing spine boards with no spine boards found that patients immobilized
on spine boards were more likely to wind up paralyzed.

Don't you just love it.

John


"Wayne Purchase" <wayne_a_purchase@hotmail.com> wrote in message
news:ZuvCd.203905$Np3.8565713@ursa-nb00s0.nbnet.nb.ca...
> Does anyone out there know of any studies or articles published dealing
> with the strapping of patients to spine boards?
>
> I read an article in EMS mag. titled "Immobilization Errors in EMS", which
> says, "Avoid crisscrossing straps from the upper chest to pelvic area.
> This "x" configuration does not secure the patient properly and is not
> recommended."
> I can see how this would/could be correct, however I am looking for
> research into this area. I would greatly appreciate your input or help in
> this matter.
>
> Thanks for your help,
> Wayne A. Purchase
>



Brian Humphrey

2005-01-11, 2:08 am

"John Filangeri" <JohnFilangeri@att.net> wrote...

> Sure
>
> Hauswald M, Ong G, Tandberg D, Omar Z.
> Out-of-hospital spinal immobilization: its effect on neurologic
> injury.
> Acad Emerg Med. 1998 Mar;5(3):214-9.
> PMID: 9523928 [PubMed - indexed for MEDLINE]


Thank you Sir!

Brian


John Filangeri

2005-01-12, 7:11 am

As far as spine boards go, just about everyone in EMS will pontificate about
how you must do it this way or that. But, the sad truth of the matter is
that there is no research to back any of this up. In fact, the only study
comparing spine boards with no spine boards found that patients immobilized
on spine boards were more likely to wind up paralyzed.

Don't you just love it.

John


"Wayne Purchase" <wayne_a_purchase@hotmail.com> wrote in message
news:ZuvCd.203905$Np3.8565713@ursa-nb00s0.nbnet.nb.ca...
> Does anyone out there know of any studies or articles published dealing
> with the strapping of patients to spine boards?
>
> I read an article in EMS mag. titled "Immobilization Errors in EMS", which
> says, "Avoid crisscrossing straps from the upper chest to pelvic area.
> This "x" configuration does not secure the patient properly and is not
> recommended."
> I can see how this would/could be correct, however I am looking for
> research into this area. I would greatly appreciate your input or help in
> this matter.
>
> Thanks for your help,
> Wayne A. Purchase
>



Brian Humphrey

2005-01-15, 7:19 am

"John Filangeri" <JohnFilangeri@att.net> wrote...

> Sure
>
> Hauswald M, Ong G, Tandberg D, Omar Z.
> Out-of-hospital spinal immobilization: its effect on neurologic
> injury.
> Acad Emerg Med. 1998 Mar;5(3):214-9.
> PMID: 9523928 [PubMed - indexed for MEDLINE]


Thank you Sir!

Brian


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