Backbreaking new research: A discussion on when to use long spine boards

May 10, 2013

A statement by the NAEMSP (National Association of EMS Physicians) cited the disuse of backboards when providing spine immobilization for unintoxicated patients without distracting injuries. 

The recent change by the NAEMSP suggested a movement toward placing the patient in a cervical collar and position of comfort rather than backboarding.  Another study performed by the University of Limerick in Ireland demonstrated that a patient able to follow commands and self-extricate resulted in four times less cervical spine movement than a team of firefighters and EMS professionals using long spine board extrication techniques.  

Articles: EMS spinal precautions and the use of the long backboard. Prehosp Emerg Care ePub March 4, 2013.

http://www.ncbi.nlm.nih.gov/pubmed/23458580

 

Biomechanical Analysis of Spinal Immobilisation during Prehospital Extrication: A Proof of Concept Study

Mark Dixon, Joseph O’Halloran, Niamh Cummins, University College Dublin

http://www.naemsp.org/Documents/PEC%20Abstracts.pdf

http://www.ul.ie/cpr/node/12

Speakers: David Page, MS, NREMT-P, Alexander Trembley, NREMT-P, Marshall J. Washick, BAS, NREMT-P, Joshua G. Salzman, MA, EMT-B, Keith Wesley, MD, FACEP, Kelsey Echols, MD.