Document Detail


Are scoop stretchers suitable for use on spine-injured patients?
MedLine Citation:
PMID:  20837250     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: In the prehospital setting, spine-injured patients must be transferred to a spine board to immobilize the spine. This can be accomplished using both manual techniques and mechanical devices.
OBJECTIVES: The study aimed to evaluate the effectiveness of the scoop stretcher to limit cervical spine motion as compared to 2 commonly used manual transfer techniques.
METHODS: Three-dimensional angular motion generated across the C5-C6 spinal segment during execution of 2 manual transfer techniques and the application of a scoop stretcher was recorded first on cadavers with intact spines and then repeated after C5-C6 destabilization. A 3-dimensional electromagnetic tracking device was used to measure the maximum angular and linear motion produced during all test sessions.
RESULTS: Although not statistically significant, the execution of the log roll maneuver created more motion in all directions than either the lift-and-slide technique or with scoop stretcher application. The scoop stretcher and lift-and-slide techniques were able to restrict motion to a comparable degree.
CONCLUSION: The effectiveness of the scoop stretcher to limit spinal motion in the destabilized spine is comparable or better than manual techniques currently being used by primary responders.
Authors:
Gianluca Del Rossi; Glenn R Rechtine; Bryan P Conrad; Marybeth Horodyski
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2010-02-25
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  28     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-14     Completed Date:  2010-09-30     Revised Date:  2011-11-08    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  751-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Orthopaedics and Sports Medicine, University of South Florida, Mail Code-MDC106 Tampa, FL 33612, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Analysis of Variance
Biomechanics
Cadaver
Cervical Vertebrae* / injuries
Electromagnetic Phenomena
Emergency Medical Services / methods*
Equipment Design
Humans
Imaging, Three-Dimensional
Immobilization / instrumentation
Moving and Lifting Patients / instrumentation*
Range of Motion, Articular
Rotation
Safety
Spinal Injuries* / diagnosis,  physiopathology,  prevention & control
Transportation of Patients / methods
Comments/Corrections
Comment In:
Am J Emerg Med. 2011 Oct;29(8):956; author reply 957   [PMID:  21839602 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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