Gautam <[log in to unmask]> writes
>Follow-up to recent discussion re. C-spine immobilization....
>1) Do other departments give priority (as we usually do) to log-rolling off
>boards
>on arrival onto something more humane (e.g. a bed of nails)?
>
>2) do other departments encourage / allow nursing staff to log-roll off (even if
>not
>to formally examine the back) on arrival WITHOUT waiting for a doctor to be free
>to
>"supervise"? In my experience, doctors are rarely involved with the practical
>handling of a log-roll anyway, as they are usually poised to examine the
>undercarriage from the other side.
>
>3) My understanding is that it takes a minimum of 3 persons to safely log-roll a
>patient (1 for neck, 2 for body). Can one of you paramedics / pre-hospital types
>lurking out there tell me how the 2 of you manage safely to get the patient onto
>a
>board at the scene?
Q3: Simple answer: it depends!
We use: orthopaedic scoop stretcher if patient on flat ground etc.
Fire Service if in a car at an RTA
Police and occasionally members of the public, and
(rarely) another ambulance crew.
Q1&2: FWIW: I have on several occasions offered to remove the patient
from the spinal board in A&E department using the scoop stretcher when
department very stretched, and suggestion was happily accepted.
Kath
________
__/ \__ Don't tell me I'm burning the candle at both ends,
~~ \________/ ~~ just tell me where I can get more wax!
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