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

References

• National Association of EMS Physicians, American College of Surgeons Committee on Trauma. EMS spinal precautions and the used of the long backboard. Prehosp Emerg Care. 2013;17:392–3.
   PubMedGoogle Scholar
• Geisler WO, Wynne-Jones M, Jousse AT. Early management of patients with trauma to the spinal cord. Med Serv J Can. 1966;4:512–23.
   Google Scholar
• Farrington DJ. Extrication of victims. J Trauma. 1968;8:493–512.
   PubMedGoogle Scholar
• American Academy of Orthopedic Surgeons Committee on Injuries, Fractures and Dislocations of the Spine. In: Emergency Care and Transportation of the Sick and Injured. Chicago, IL: American Academy of Orthopedic Surgeons; 1971;111–5.
   Google Scholar
• Crosby ET. The adult cervical spine: Implications for airway management. Can J Anaesth 1990;37:77–93.
   PubMedGoogle Scholar
• Fehlings M, Louw D. Initial Stabilization and Medical Management of Acute Spinal Injury. American Family Physician. 1996;54:155–62.
   PubMedGoogle Scholar
• Rimmel R, Winn R, Rice P, Butler A, Edlich R, Buck R, Jane J. Prehospital Treatment of the Spinal Cord Patient. Resuscitation. 1981;9:29–37.
   PubMedGoogle Scholar
• Bohlman HH. Acute fractures and dislocations of the cervical spine. J Bone Joint Surg. 1979;61A:1119–42.
   Google Scholar
• Riggins RS, Kraus JF. The risk of neurologic damage with fractures of the vertebrae. J Trauma 1977;17:126–133.
   Google Scholar
• Soderstrom CA, Brumback RJ. Early care of the patient with cervical spine injury. Orthopedic Clinics of North America 1986;17:3–13.
   PubMedGoogle Scholar
• Burney RE, Waggoner R, Maynard FM. Stabilization of spinal injury for early transfer. J Trauma 1989;29:1497–9.
   PubMedGoogle Scholar
• Hauswald M. A re-conceptualisation of acute spinal care. Emerg Med J. 2013;30:720–3.
   PubMedGoogle Scholar
• Barney RN, Cordell WH, Miller E. Pain associated with immobilization on rigid spine boards. Ann Emerg Med. 1989;18:918.
   Google Scholar
• Lerner EB, Billittier AJ, Moscati RM. The effects of neutral positioning with and without padding on spinal immobilization of healthy subjects. Prehosp Emerg Care. 1998;2:112–6.
   PubMedGoogle Scholar
• March J, Ausband S, Brown L. Changes in physical examination caused by use of spinal immobilization. Prehosp Emerg Care. 2002;6:421–4.
   PubMedGoogle Scholar
• Berrington de González A, Mahesh M, Kim K, Bhargavan M, Lewis R, Mettler F, Land C. Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med. 2009;169:2071–7.
   PubMedGoogle Scholar
• Hall E, Brenner D. Cancer risks from diagnostic radiology. Br J Radiol. 2008 May;81:362–78.
   PubMedGoogle Scholar
• Forley F, Pham J, Kirsch T. Use of advanced radiology during visits to US emergency departments for injury-related conditions, 1998–2007. JAMA. 2010;304:1465–71.
   PubMedGoogle Scholar
• Bauer D, Kowalski R. Effect of spinal immobilization devices on pulmonary function in the healthy, nonsmoking man. Ann Emerg Med. 1988;17:915–8.
   PubMedGoogle Scholar
• Walsh M, Grant T, Mickey S. Lung function compromised by spinal immobilization. Correspondence. Ann Emerg Med. 1990;19:615–6.
   PubMedGoogle Scholar
• Linares HA, Mawson AR, Suarez E, Biundo JJ. Association between pressure sores and immobilization in the immediate post-injury period. Orthopedics. 1987;10:571–3.
   PubMedGoogle Scholar
• Sheerin F, de Frein R. The occipital and sacral pressures experienced by healthy volunteers under spinal immobilization: a trial of three surfaces. J Emerg Nurs. 2007;33:447–50.
   PubMedGoogle Scholar
• Cordell WH, Hollingsworth JC, Olinger ML, Stroman SJ, Nelson DR. Pain and tissue-interface pressures during spine-board immobilization. Ann Emerg Med. 1995;26:31–6.
   PubMedGoogle Scholar
• Berg G, Nyberg S, Harrison P, Baumchen J, Gurss E, Hennes E. Near-infrared spectroscopy measurement of sacral tissue oxygen saturation in healthy volunteers immobilized on rigid spine boards. Prehosp Emerg Care. 2010;14:419–24.
   PubMedGoogle Scholar
• Domeier RM, Swor RA, Frederiksen SM. Prehospital clinical findings associated with spinal cord injury. Prehosp Emerg Care. 2003;7:175.
   Google Scholar
• Hauswald M, Ong G, Tandberg D, Omar Z. Out-of-hospital spinal immobilization: its effect on neurologic injury. Acad Emerg Med. 1998;5:214–19.
   Google Scholar
• Haut E, Kalish B, Efron D, Haider A, Stevens K, Kieninger A, Cornwell E, Chang D. Spine immobilization in penetrating trauma: more harm than good? J Trauma. 2010 Jan;68(1):115–20; discussion 120–1.
   Google Scholar
• Leonard J, Mao J, Jaffe D. Potential adverse effects of spinal immobilization in children. Prehosp Emerg Care. 2012;16: 513–8.
   PubMedGoogle Scholar
• Domeier RM, Evans RW, Swor RA, Rivera-Rivera EJ, Frederiksen SM. Prospective validation of out-of-hospital spinal clearance criteria: a preliminary report. Acad Emerg Med. 1997;4:643–6.
   PubMedGoogle Scholar
• Domeier RM, Swor RA, Evans RW, Krohmer J, Hancock JB, Fales W, Frederiksen SM, Shork MA. Multicenter Prospective Validation of Prehospital Clinical Spinal Clearance Criteria. J Trauma. 2002;53:744–50.
   PubMedGoogle Scholar
• Muhr MD, Seabrook BS, Wittwer LK. Paramedic use of a spinal injury clearance algorithm reduces spinal immobilization in the out-of-hospital setting. Prehosp Emerg Care. 1999;3:1–6.
   PubMedGoogle Scholar
• Domeier, RM. Indications for prehospital spinal immobilization. National Association of EMS Physicians Standards and Clinical Practice Committee. Prehosp Emerg Care. 1999; 3:251–3.
   PubMedGoogle Scholar
• Stroh G, Braude D. Can an out-of-hospital cervical spine clearance protocol identify all patients with injuries? An argument for selective immobilization. Ann Emerg Med. 2001;37: 609–15.
   PubMedGoogle Scholar
• Domeier RM, Frederiksen SM, Welch K. Prospective performance assessment of an out-of-hospital protocol for selective spine immobilization using clinical spine clearance criteria. Ann Emerg Med. 2005;46:123–31.
   PubMedGoogle Scholar
• State of Michigan Emergency Medical Services Protocols. Michigan Department of Community Health. 2012.
   Google Scholar
• Chan D, Goldberg R, Tascone A, Harmon S, Chan L. Backboard versus mattress splint immobilization: a comparison of symptoms generated. Ann Emerg Med. 1994;23:48–51.
   PubMedGoogle Scholar
• Hamilton RS, Pons PT. The efficacy and comfort of full-body vacuum splints for cervical–spine immobilization. J Emerg Med. 1996;14:553–9.
   PubMedGoogle Scholar
• Hauswald M, McNally T. Confusing extrication with immobilization: the inappropriate use of hard spine boards for interhospital transfers. Air Med J. 2000;19:126–7.
   PubMedGoogle Scholar
• Australian Resuscitation Council, Guideline 9.1.6: Management of suspected spinal injury. 2012; www.resus.org.au/policy/ guidelines/section_9/guideline-9-1-6-july12.pdf
   Google Scholar
• Queensland Ambulance Service, Trauma clinical practice procedures: Use of an extrication board. 2012; www.ambulance. qld.gov.au/medical/pdf/09_cpp_trauma_030912.pdf
   Google Scholar
• Vickery D. The use of the spinal board after the pre-hospital phase of trauma management. Emerg Med J. 2001;18:51–4.
   PubMed Web of Science ®Google Scholar
• Yeung JHH, Cheung NK, Graham CA, Rainer TH. Reduced time on the spinal board –effects of guidelines and education for emergency department staff. Injury. 2006;37:53–6.
   PubMed Web of Science ®Google Scholar
• Swartz C. Clinical decisions: resuscitation considerations to prevent pressure ulcers in trauma patients. Int J Trauma Nurs. 2000;6:16–8.
   PubMedGoogle Scholar
• Hauswald M, Braude D. Diffusion of medical progress: early spinal immobilization in the emergency department. Acad Emerg Med. 2007;11:1087–9.
   Google Scholar
• Ahn H, Singh J, Nathens A, MacDonald R, Travers A, Tallon J, Fehlings M, Yee A. Pre-hospital care management of a potential spinal cord injured patient: a systematic review of the literature and evidence-based guidelines. J Neurotrauma 2011;28:1341–61.
   PubMed Web of Science ®Google Scholar
• Podalsky S, Baraff LJ, Simon RR, Hoffman JR, Larmon B, Ablon W. Efficacy of cervical spine immobilization methods. J Trauma. 1983;23:461–5.
   PubMedGoogle Scholar
• Mazolewski P, Manix T. The effectiveness of strapping techniques in spinal immobilization. Ann Emerg Med. 1994;23: 1290–5.
   PubMedGoogle Scholar
• Silbergleit R, Dedrick DK, Pape J, Burney RE. Forces acting during air and ground transport on patients stabilized by standard immobilization techniques. Ann Emerg Med. 1991;20:875–7.
   PubMedGoogle Scholar
• Peery CA, Brice J, White WD. Prehospital spinal immobilization and the backboard quality assessment study. Prehosp Emerg Care. 2007;11:293–7.
   PubMedGoogle Scholar
• Dietrich AM, Ginn-Pease MD, Bartkowski HM, King DR. Pediatric cervical spine fractures: predominately subtle presentation. J Pediatric Surg. 1991;26:995–1000.
   Google Scholar
• Pang D, Pollack IF. Spinal cord injury without radiographic abnormality in children –the SCIWORA syndrome. J Trauma. 1989;29:654–64.
   PubMedGoogle Scholar
• Viccellio P, Simon H, Pressman BD, Shah MN, Mower WR, Hoffman JR. A prospective multicenter study of cervical spine injury in children. Pediatrics. 2001;108:e20.
   PubMedGoogle Scholar
• Nypaver M, Treloar D. Neutral cervical spine positioning in children. Ann Emerg Med. 1994;23:208–11.
   PubMedGoogle Scholar
• Maiman D, Sances A, Myklebust J, Larson S, Houterman C, Chilbert M, El-Ghatit A. Compression injuries of the cervical spine: a biomechanical analysis. Neurosurgery. 1983;13: 254–60.
   PubMed Web of Science ®Google Scholar
• Spinal immobilization protocol. Xenia Fire Department, Xenia, Ohio, 2012.
   Google Scholar
• Spinal motion restriction protocol. Alameda County Public Health Department, Alameda County, California, 2013. www. acphd.org/emtpara/manprotocol.aspx
   Google Scholar
• Spinal injury protocol. Rio Rancho Fire Department, Rio Rancho, New Mexico, 2012.
   Google Scholar
• www.MIEMSS.org
   Google Scholar
• Engsberg JR, Standeven JW, Shurtleff TL, Eggars JL, Shafer JS, Naunheim RS. Cervical spine motion during extrication. J Emerg Med. 2013;44:122–7.
   PubMedGoogle Scholar
• Dixon M, O'Holloran J, Cummins N. Biomechanical analysis of spinal immobilization during prehospital extrication: a proof-of-concept study. Prehosp Emerg Care. 2013;17: 106.
   Google Scholar