"Spinal precautions"

Prehospital use of spinal precautions by emergency medical services in children and adolescents. Limited evidence exists to guide the management of children with possible spinal injuries in the prehospital setting. As a first step to address this, we set out to describe the epidemiology and management of children <18 years presenting with possible cervical spinal injuries to EMS in Victoria male and the median age was 13 years (interquartile range: 9-15). Over half of the children were transported to suburban (32.2%) and rural/regional (22.9%) EDs, with 37.5% taken to designated trauma centres. The most common mechanisms of injury were sports/activity, motor vehicle accidents and falls in 35.4%, 27.9% and 26.3%, respectively. Spinal precaution use was recorded in 93.7% of cases

Perspectives on Spinal Precautions in Patients Who Have Cancer and Spinal Metastasis. Bones are the third most common site for cancer metastases, and the axial skeleton is the most frequent skeletal location. In a postmortem study, bone metastases were reported in 70% of breast and prostate cancer patients. Bone metastases from breast, lung, prostate, thyroid, and kidney cancers account for 80

Prolonged use of spinal precautions is associated with increased morbidity in the trauma patient. Patients who experience traumatic spine injuries remain in spinal precautions (SP) to minimize the risk of devastating cord injury while awaiting definitive management. This study examines the incidence of pneumonia (PNA), urinary tract infection (UTI), deep vein thrombosis (DVT), or pulmonary

EMS Providers' Beliefs Regarding Spinal Precautions for Pediatric Trauma Transport. Describe prehospital Emergency Medical Services (EMS) providers' beliefs regarding spinal precautions for pediatric trauma transport. We randomly surveyed nationally certified EMS providers. We assessed providers' beliefs about specific precautions, and preferred precautions given a child's age (0-4 or 5-18 years optimal spinal precautions. There were no consensus beliefs, however, for use of particular precautions based on age and risk factors.

EMS Spinal Precautions and the Use of the Long Backboard -Resource Document to the Position Statement of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma. Field spinal immobilization using a backboard and cervical collar has been standard practice for patients with suspected spine injury since the 1960s. The backboard has been a component in protecting the spinal cord of an injured patient remains unsubstantiated, they should only be used judiciously. The following provides a discussion of the elements of the National Association of EMS Physicians (NAEMSP) and American College of Surgeons Committee on Trauma (ACS-COT) position statement on EMS spinal precautions and the use of the long backboard. This discussion includes items where

EMS Spinal Precautions and the Use of the Long Backboard. This is the official position of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma regarding emergency medical services spinal precautions and the use of the long backboard.

-quality negative CT scan is highly accurate with a 100% NPV, effectively ruling out unstable injuries that might pose a risk if spinal precautions are discontinued. It is safe to conclude that CT-based clearance of the cervical spine is reliable and avoids the associated risks of prolonged immobilization [137]. Arteriography Cervicocerebral There is no role for cervicocerebral arteriography

): 659-661. doi: 10.1080/10903127.2018.1481476. Epub 2018 Aug 9. PMID: 300919392. National Association of EMS Physicians. EMS spinal precautions and the use of the long backboard – A joint position statement of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma. 2018. https://naemsp.org/home/news/spinal-motion-restriction-in-the-trauma-patient (e.g., long bone fracture, degloving, or crush injuries, large burns, emotional distress, communication barrier, etc.) or any similar injury that impairs the patient’s ability to contribute to a reliable examinationFrom: National Association of EMS Physicians. EMS spinal precautions and the use of the long backboard – A joint position statement of the National Association of EMS Physicians

for Clinical Innovation 5 aci.health.nsw.gov.auTypeContraindicationsNeurological and neurosurgical• Post craniectomy (until the patient is cleared by the lead medical team)• External ventricular drain and/or intracranial pressure monitor in situ• Acute spinal cord injury• Patients who are on neuromuscular blockers or present with acute muscle paralysisOrthopaedic and musculoskeletal• Strict spinal precautions in place (inline immobilisation required)• Limb fractures, osteopenia• Joint laxity; hypotonicity or spasticity; specific regional or joint considerationsOther• Invasive lines or catheters in situ• Continuous renal replacement therapy• Specific requirements or instructions following surgery, e.g. status post skin grafts and muscle flaps, open abdomen, risk of wound dehiscence• Visceral organ

Cervical Spine Clearance in the Trauma Patient Cervical spine clearance in the trauma patientMay 2021Background and justificationFollowing blunt trauma, particularly if associated with impaired cognition, the potential for an unstable cervical spine is generally recognised and the patient is protected appropriately. Early formal spinal precautions are frequently necessary but their continuation clinical team. 2 This scan is of good quality and there are no comorbidities confounding its interpretation. No features of instability, such as fracture, haematoma or joint disruption are seen. An unconscious or obtunded patient may be labelled “C-Spine radiologically cleared”. Spinal precautions can be removed. Clinical clearance is not confirmed until a tertiary survey is completed and documented. 3

Practice Committee, National Association of EMS Physicians. EMS spinal precautions and the use of the long backboard - resource document to the position statement of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma. Prehosp Emerg Care. 2014;18(2):306-314.Velopulos CG, Shihab HM, Lottenberg L, et al. Prehospital spine immobilization/spinal motion

to discontinue spinal precaution protocols, which can result in skin breakdown and ulceration when used over prolonged periods of time [7]. Discussion of Procedures by Variant Variant 1: Child, 3 to 16 years of age, acute cervical spine trauma, meets low risk criteria (based on PECARN or NEXUS). Initial imaging. Radiography Cervical Spine The routine radiograph of the cervical spine

Between Emergency Department Overcrowding and Emergency Medical Services Redirection? The Journal of Emergency Medicine Prehospital use of spinal precautions by emergency medical services in children and adolescents Emergency Medicine Australasia Prevalence of clinical deterioration in the pre-hospital setting Emergency Medicine Australasia Serious conditions among conveyed and non-conveyed patients

significant independent variable in predicting morbidity on multiple regression analysis (p < 0.003). There was no significant difference in complication rates based on timing of surgical stabilization (p = 0.398) or ISS (p = 0.482). Our results suggest that these patients are suitable for early appropriate care with spinal precautions and delayed definitive surgical stabilization. Earlier surgery conferred

Head-Neck Motion in Prehospital Trauma Patients under Spinal Motion Restriction: A Pilot Study. Spinal precautions are intended to limit motion of potentially unstable spinal segments. The efficacy of various treatment approaches for motion restriction in the cervical spine has been rigorously investigated using healthy volunteers and, to a lesser extent, cadaver samples. No previous studies have objectively measured this motion in trauma patients with potential spine injuries during prehospital care. The purpose of this study was to characterize head-neck (H-N) kinematics in a sample of trauma patients receiving spinal precautions in the field. This was a prospective observational study of trauma patients in the prehospital setting. Trauma patients meeting criteria for spinal

, where advanced airway management is not immediately available, we recommend that all EMS providers turn the patient into a lateral position while maintaining spinal alignment (strong recommendation, low quality of evidence). When spinal precautions are warranted, chin lift or jaw thrust in combination with manual in-line stabilisation should be used to reduce the risk for exacerbation of any spinal

with full spinal precautions for prolonged periods creates difficulties in intensive care units. Spinal immobilisation is associated with pressure sores and pulmonary complications and is not recommended for more than 48 hours. Audits in the UK suggest poor implementation of spinal clearance policies. In the neck ligamentous disruption without a major bony injury may lead to instability. Recent

position but may be moved to the Trendelenburg or lateral decubitus position for improved visualization of particular views if there are no contraindications (eg, spinal precautions). Male patients should have the entire abdomen exposed for the examination. Take care with female patients to minimize the exposure of sensitive areas. Typically, no complications are associated with this procedure

Effects of spinal immobilization and spinal motion restriction on head-neck kinematics during ambulance transport. To determine the influence of ambulance motion on head-neck (H-N) kinematics and to compare the effectiveness of two spinal precaution (SP) protocols: spinal immobilization (SI) and spinal motion reduction (SMR). Eighteen healthy volunteers (7 females) underwent a series