In message <005c01bf3f42$482d8f40$643d989e@19090>, Dr Matthew Cooke
<[log in to unmask]> writes
>I have to disagree with the concept of the board being used for "transport".
>It is an extrication device. patients are often left on a board to transport
>because of lack of people to do log roll in pre-hosp environment.
>A plea- do not put people back on a board to transfer them - use a vacuum
>mattress.
Like vacuum mattresses a lot, but not XRay friendly. The local crews
have access to them, so guess they would be preferable to horrible board
for cross-country transfer.
Agree whole-heartedly with your comments on log-rolling: very worrying
time, especially if inadequate numbers or experience (shouldn't be log-
rolling in this case).
Had a near-miss once when SHO and nurses were preparing to log-roll
patient: had un-done body/leg straps, but NOT un-done head straps yet
(can I hear you collectively tut-tutting?). Patient vomits while supine.
Immediate understandable reaction of those present was to turn patient
on side and call for help which was the first the rest of us knew about
it. But with body free and head pinnioned: massive torsion on C-spine.
Luckily patient was one of the 999 out of a 1000 (not evidence-based)
who DIDN't have an unstable spine, but we didn't know that at the time.
Dr G Ray
Staff Grade
A&E
Sussex
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