Assessing Attitudes toward Spinal Immobilization

Bouland, Andrew J.; Jenkins, J. Lee; Levy, Matthew J.

doi:10.1016/j.jemermed.2013.03.046

Cited by 17 publications

(15 citation statements)

References 27 publications

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“…It is therefore necessary to engage in a critical discussion concerning current training and continued education contents regarding practical skills in applying a cervical collar. The need for more frequent practical training units regarding spinal immobilization was confirmed in a current study [ 11 ]. Münzberg et al were able to show that both practical skills and case examples in ATLS courses were evaluated as very helpful by participants [ 12 ].…”

Section: Discussionmentioning

confidence: 56%

Application of Cervical Collars – An Analysis of Practical Skills of Professional Emergency Medical Care Providers

et al. 2015

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Background/ObjectiveThe application of a cervical collar is a standard procedure in trauma patients in emergency medicine. It is often observed that cervical collars are applied incorrectly, resulting in reduced immobilization of the cervical spine. The objective of this study was to analyze the practical skills of trained professional rescue personnel concerning the application of cervical collars.Material and MethodsWithin emergency medical conferences, n = 104 voluntary test subjects were asked to apply a cervical collar to a training doll, wherein each step that was performed received an evaluation. Furthermore, personal and occupational data of all study participants were collected using a questionnaire.ResultsThe test subjects included professional rescue personnel (80.8%) and emergency physicians (12.5%). The average occupational experience of all study participants in pre-clinical emergency care was 11.1±8.9 years. Most study participants had already attended a certified training on trauma care (61%) and felt "very confident" in handling a cervical collar (84%). 11% applied the cervical collar to the training doll without errors. The most common error consisted of incorrect adjustment of the size of the cervical collar (66%). No association was found between the correct application of the cervical collar and the occupational group of the test subjects (trained rescue personnel vs. emergency physicians) or the participation in certified trauma courses.ConclusionDespite pronounced subjective confidence regarding the application of cervical collars, this study allows the conclusion that there are general deficits in practical skills when cervical collars are applied. A critical assessment of the current training contents on the subject of trauma care must, therefore, be demanded.

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Section: Discussionmentioning

confidence: 56%

Application of Cervical Collars – An Analysis of Practical Skills of Professional Emergency Medical Care Providers

et al. 2015

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“…Therefore, the emergency personnel, especially the pre-hospital emergency staff, should continue and refresh their knowledge regarding the use of the cervical collar. It is also necessary to include continuing education credits on spinal immobilization in the current curriculum [13]. In many other studies, the impact of the education and subsequent enhancement of individuals' knowledge have been proven [17,18].…”

Section: Discussionmentioning

confidence: 99%

“…Using the appropriate type of collar and its correct application based on the scientific indications to prevent further neuromuscular damage are of high importance in patients with head and neck lesions. In most parts of the world, paramedic staff is the first health professionals to visit traumatic patients, and responsible for maintaining the stability and immobilization of the neck before transporting them to healthcare centers [6,13,14]. Therefore, this study was designed and conducted to assess the knowledge of paramedic staff about using the cervical collar in patients with head and neck trauma.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Education on the Knowledge of Paramedic Staff in Using Cervical Collar in Patients With Head and Neck Trauma

Asadi

Monsef-Kasmaei

Zia-Ziabari

et al. 2018

Iran. J. Neurosurg.

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Background and Aim: Cervical trauma is a major injury and although using cervical collar is the standard measure in trauma patients, it is not usually applied properly. This study aimed to examine the effect of education on the knowledge of paramedic staff regarding cervical collar use in patients with head and neck injuries. Methods and Materials/Patients:In this quasi-experimental study, 100 paramedic staff of Rasht Emergency Medical Services (EMS) participated through census sampling method. First, the knowledge of paramedics about utilizing cervical collar was examined using a researcher-made questionnaire. Then, those with low or intermediate knowledge were trained by the resident of emergency medicine. Instructional CDs, including materials on using the cervical collar were distributed among paramedics, too. After two weeks, their knowledge was tested by written and practical tests. By comparing the scores before and after the education, the effectiveness of the intervention was assessed.Results: All samples were male. Their Mean±SD age and work experience were 38.8±7.5 and 12.6±6.5 years, respectively. The results of pre-education knowledge survey showed that the 71 (69.6%) subjects had a moderate knowledge and 27 (26.47%) individuals had poor knowledge, and only 4 (3.9%) individuals had sufficient knowledge about using the cervical collar. Knowledge survey assessment after education in poor and moderate groups (n=98, 96.1%) showed that 73 (74.5%) subjects had good knowledge and 25 (25.5%) subjects had moderate knowledge. Nobody had weak knowledge. Conclusion:The paramedic staff knowledge of using cervical collar increased after holding an appropriate educational course. Therefore, the staff with low to intermediate knowledge should be trained at least once a year.

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“…Cervical collar placement algorithm for triage nurses (40) Qualitative observational MEDLINE/PubMed Grade B/3e ABC of major trauma. Transport of injured patients (41) Literature review Science Direct NA** Assessing attitudes toward spinal immobilization (42) Observational MEDLINE/PubMed Grade B/3e * Article included by back search. ** NA -not applied (13) .…”

Section: Title Study Design Data Source Grade Of Recommendation/ Level Of Evidencementioning

confidence: 99%

“…However, this practice has been abolished as they can slip and cause loss of neutral alignment (24) . It should be noted that immobilization on a long spine board is not the preferred method and, therefore, emergency service providers often perform spinal immobilization with injury mechanism as the only indication (42) . KED (21,24,(37)(38)(39) is a low-flexibility device that fixes the patient's trunk, legs and head in order to prevent movement.…”

Section: Title Study Design Data Source Grade Of Recommendation/ Level Of Evidencementioning

confidence: 99%

Extrication techniques of entrapped car crash victims: a scoping review

Júnior

Giacon-Arruda

Larrosa

et al. 2021

Rev. esc. enferm. USP

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Objective: to summarize the extrication techniques of entrapped car crash victims with potential spinal injury. Method: a literature review study, of scoping review type, using the MEDLINE/PubMed, CINAHL, Scopus, Science Direct, Web of Science, Cochrane Library and gray literature data sources, without time frame, with studies that addressed extricating techniques extrication of entrapped car crash victims. Results: a total of 33 studies were included that enabled identifying and summarizing the different types of extrication and respective devices for extrication of entrapped car crash victims, indicated according to injury assessment and the victim’s clinical condition. All pointed to the need for techniques to maintain neutral alignment and prevent spine twists. Conclusion: this study indicated that injury assessment with an emphasis on the victim’s clinical condition provides a coherent decision-making regarding the technique and device to be used. However, carrying out other comparative studies between existing techniques may help in the decision-making process more assertively.

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Assessing Attitudes toward Spinal Immobilization

Cited by 17 publications

References 27 publications

Application of Cervical Collars – An Analysis of Practical Skills of Professional Emergency Medical Care Providers

Application of Cervical Collars – An Analysis of Practical Skills of Professional Emergency Medical Care Providers

The Effect of Education on the Knowledge of Paramedic Staff in Using Cervical Collar in Patients With Head and Neck Trauma

Extrication techniques of entrapped car crash victims: a scoping review

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