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Research Article

Outcome of Trauma Patients Immobilized by Emergency Department Staff, but Not by Emergency Medical Services Providers: A Quality Assurance Initiative

, MD, EMT-P, , MD, MPH, EMT-P, , PhD & , MD

References

  • Griffith B, Bolton C, Goyal N, Brown ML, Jain R. Screening cervical spine CT in a level 1 trauma center: overutilization? AJR Am J Roentgenol. 2011 Aug;197(2):463–7.
  • Bernhard M, Gries A, Kremer P, Böttiger BW. Spinal cord injury (SCI) –prehospital management. Resuscitation. 2005;66:127–39.
  • Kwan I, Bunn F, Roberts IG. Spinal immobilisation for trauma patients (review). The Cochrane Library. 2009; Issue 2. Art. No.:CD002803. DOI: 10.1002/14651858.CD002803.
  • Hauswald M, McNally T. Confusing extrication with immobilization: the inappropriate use of hard spine boards for interhospital transfers. Air Med J. 2000; 19(4) October-December:126–7.
  • Chan D, Goldberg R, Tascone A, Harmon S, Chan L. The effect of spinal immobilization on healthy volunteers. Ann Emerg Med. 1994;23:48–51.
  • Hauswald M, Braude D. Spinal immobilization in trauma patients: is it really necessary? Curr Opin Crit Care. 2002;8:566–70.
  • Cordwell WH, Hollingsworth JC, Olinger ML, Stroman SJ, Nelson DR. Pain and tissue-interface pressures during spine-board immobilization. Ann Emerg Med. 1995;26(1):31–6.
  • Webber-Jones J, Thomas C, Bordeaux R. The management and prevention of rigid cervical collar complications. Orthop Nurs. 2002;21(4):19–26.
  • Bauer D, Kowalski R. Effect of spinal immobilization devices on pulmonary function in the healthy, nonsmoking man. Ann Emerg Med. 1988;17(9):915–8.
  • Totten VY, Sugerman DB. Respiratory effects of spinal immobilization. Prehosp Emerg Care. 1999;3(4):347–52.
  • Nelson JA, Loredo JS, Acosta JA. The obesity-hypoventilation syndrome and respiratory failure in the acute trauma patient. J Emerg Med. 2011;40(4):e67–9.
  • Abram S, Bulstrode C. Routine spinal immobilization in trauma patients? What are the advantages and disadvantages? The Surgeon. 2010;8:218–22.
  • Stone M, Tubridy CM, Curran DC. The effect of rigid cervical collars on internal juglar vein dimensions. Acad Emerg Med. January 2010;17(1):100–2.
  • Leonard JC, Mao J, Jaffe DM. Potential adverse effects of spinal immobilization in children. Prehosp Emerg Care. Sep 2012;16(4):513–8.
  • EMS spinal precautions and the use of the long backboard. National Association of EMS Physicians and American College of Surgeons Committee on Trauma. Prehosp Emerg Care. Jul 2013;17(3):392–3.
  • Domeier R, Fredricksen S, Welch K. Prospective performance assessment of an out-of-hospital protocol for selective spine immobilization using clinical spinal clearance criteria. Ann Emerg Med. 2005;46(2):123–31.
  • Stroh G, Braude D. Can an out-of-hospital spine clearance protocol identify all patients with injuries? An argument for selective immobilization. Ann Emerg Med. 2001;37(6):609–15.
  • Muhr MD, Seabrook DL, 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):1–6.
  • Vaillancourt C, Stiell IG, Beaudoin T, Maloney J, Anton AR, Bradford P, Cain E, Travers A, Stempien M, Lees M, Munkley D, Battram E, Banek J, Wells GA. The out-of-hospital validation of the Canadian C-Spine Rule by paramedics. Ann Emerg Med. 2009;54(5):663–71.
  • Braude D. Jaramillo, A. Selective spinal immobilization: the use of assessment criteria & protocols to select patients who don't require complete spinal immobilization. JEMS. 2002; Sep;27(9):70–2, 74–81.
  • Dunn TM, Dalton A, Dorfman T, Dunn WW. Are emergency medical technicain-basics able to use a selective immobilization of the cervical spine protocol? Prehos Emerg Care. 2004;8:207–11.
  • Burton JH, Dunn MG, Harmon NR, Hermanson, TA, Bradshaw JR. A statewide, prehospital emergency medical service selective patient spine immobilization protocol. J Trauma. 2006;61:161–7.
  • Armstrong BP, Simpson HK, Crouch R, Deakin CD. Prehospital clearance of the cervical spine: does it need to be a pain in the neck? Emerg Med J. 2007;24:501–3.
  • Meldon SW, Brandt TA, Cydulka RK, Collins TE, Shade BR. Out-of-hospital cervical spine clearance: agreement between emergency medical technicians and emergency physicians. J Trauma. 1998;45(6):1058–61.
  • Malik M, Lovell M. Current spinal board usage in emergency departments across the UK. Injury Int J Care Injured. 2003;34:327–9.
  • Stagg M, Lovell M. A repeat audit of spinal board usage in the emergency department. Injury Int J Care Injured. 2007;39:323–6.
  • United States Census Bureau Quick Facts. Accessed Feb 2013. quickfacts.census.gov/qfd/states/35/3502000.html
  • Hoffman J, Mower W, Wolfson A, Todd KH, Zucker MI. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. N Engl J Med. 2000;343:94–9.
  • Stiell IG, Wells GA, Vandemheen KL, Clement CM, Lesiuk H, De Maio VJ, Laupacis A, Schull M, McKnight RD, Verbeek R, Brison R, Cass D, Dreyer J, Eisenhauer MA, Greenberg GH, MacPhail I, Morrison L, Reardon M, Worthington J. The Canadian C-Spine Rule for radiography in alert and stable trauma patients. JAMA. 2001;286(15)1841–8.
  • Lerner EL, Moscati R. Duration of patient immobilization in the ED. J Emerg Med. 2000;18:28–30.
  • Griffith B, Kelly M, Vallee M, Slezak M, Nagarwala J, Krupp S, Loeckner CP, Schultz LR, Jain R. Screening cervical spine CT in the emergency department, phase 2: a prospective assessment of use. AJNR Am J Neuroradiol. 2012 October 4; Epub ahead of print.
  • Lekovic GP. Litigation of missed cervical spine injuries in patients presenting with blunt traumatic injury. Neurosurgery. 2007;60(3):516–23.
  • Korley FK, Pham JC, Kirsch TD. Use of advanced radiology during visits to US emergency departments for injury-related conditions, 1998–2007. JAMA. 2010;304(13):1465–71.
  • Brenner DJ. Slowing the increase in the population dose resulting from CT scans. Radiat Res. 2010;174:809–15.
  • Richards PJ, Summerfield R, George J, Hamid A, Oakley P. Major trauma and cervical clearance radiation doses and cancer induction. Injury Int J Care Injured. 2008;39:347–56.
  • National Research Council (U.S.) and Committee to Assess Health Risks from Exposure to Low Level of Ionizing Radiation. Health risks from exposure to low levels of Ionizing radiation: BEIR VI phase 2. Washington, DC: National Academies; 2006.
  • Shah KH, Slovis BH, Runde D, Godbout B, Newman DH, Lee J. Radiation exposure among patients with the highest CT scan utilization in the emergency department. Emerg Radiol. 2013 July 14 [Epub ahead of print]
  • Mulkens TH, Marchal P, Daineffe S, Salgado R, Bellinck P, te Rijdt B, Kegelaers B, Termote JL. Comparison of low-dose with standard-dose multidetector CT in cervical spine trauma. AJNR Am J Neuroradiol. Sept 2007;28:1444–50.

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