Document Detail


Duration of patient immobilization in the ED.
MedLine Citation:
PMID:  10674527     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this article we seek to determine the duration of immobilization in patients presenting to the emergency department (ED). We conducted a 10-week prospective study of a convenience sample of patients transported to a level one trauma center immobilized with a backboard and cervical collar. Total backboard time (TBT) was measured from the time the ambulance left the scene to the time the patient was removed from the backboard, while total ED backboard time (TEDBT) was measured from the time of arrival at the ED to the time of backboard removal. There were 138 patients entered in the study. Insufficient data excluded 36 patients from further analysis. TBT was available for 92 patients and averaged 63.63 (+/-45.87) minutes. Dividing patients into those who were removed from the backboard prior to radiographs (n = 85), the TBT average was 53.9 minutes (+/-30.1), whereas the average for those who had radiographs prior to removal from the backboard (n = 7) was 181.3 minutes (+/-41.6). There were 102 patients for whom TEDBT was available and averaged 46.36 (+/-44.88) minutes. Dividing patients into those who were removed from the backboard prior to radiographs (n = 95), the TEDBT average was 37.6 minutes (+/-29.6), whereas the average for those who had radiographs prior to removal from the backboard (n = 7) was 165.3 minutes (+/-49.7). Patients are left on backboards for significant periods of time even when no radiographs are taken prior to backboard removal.
Authors:
E B Lerner; R Moscati
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  18     ISSN:  0735-6757     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-02-24     Completed Date:  2000-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  28-30     Citation Subset:  IM    
Affiliation:
State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Department of Emergency Medicine, USA. Lerner@acsu.buffalo.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Back Pain / etiology
Clinical Protocols
Female
Humans
Immobilization* / adverse effects
Male
Middle Aged
Prospective Studies
Spinal Injuries / radiography*,  therapy*
Time Factors
Transportation of Patients / methods*,  statistics & numerical data*
Trauma Centers

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


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