In message <005901bf3c4f$591e3ca0$1b1999c2@user>, Salim Kadhim Shubber
<[log in to unmask]> writes
>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?.
We try and get them off-borad a.s.a.p.
Our guiding philosophy is that the board is an extrication / transport
device, NOT an immobilization device. We log-roll with as many pairs of
hands as are necessary for safe in-line movement, examine and restore to
softer surface. If we did find an unstable # on XRay, I guess the
patient would be restored to the surf board for transport to a proper
hospital (requiring another, potentially risky log-roll).
Xrays through boards / sandbags etc. are almost always a complete waste
of radiation.
Anyone who has spent more than an hour immobile on a board will have
TOTAL spinal pain and require (probably unecessary) C/T/L/S/Pelvis
XRays. Bearing in mind the time it takes an ambulance crew in a cold,
dark ditch to secure the victim once on the board, urgent safe removal
should be a priority in A&E. But of course, we can't, because the staff
are too busy trying to meet vital triage and #NOF targets.
Dr G Ray
Staff Grade
A&E
Sussex
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