I am interested to find the general consensus among the team. At what
stage do you remove the spinal board in a patient who arrives in A&E with
RTA. What method do you use and why?.
I know that in a few of the Departments I have worked there has be a
tendency to remove the spinal board even before the x-rays of the cervical
spine, CXR and pelvis are performed. This allows examination of the
posterior aspect of the thoracic wall and the spine initially. It places the
patient on softer surface and give less magnified and clearer chest x-ray.
Obviously in line immobilisation is adhered at all times. The formal log
roll is used by many to remove the spinal board and examine the back as
suggested by ATLS, others use a scoop, and others a 8 person lift etc.
many thanks.
Salim Shubber
SpR
Altnagelvin Area Hospital
L,Derry.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|