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Related Experiment Video

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Assessing attitudes toward spinal immobilization.

Andrew J Bouland1, J Lee Jenkins, Matthew J Levy

  • 1College of William & Mary, Williamsburg, Virginia; Howard County Department of Fire and Rescue Services, Howard County, Maryland; University of Maryland School of Medicine, Baltimore, Maryland.

The Journal of Emergency Medicine
|August 13, 2013
PubMed
Summary
This summary is machine-generated.

Emergency Medical Services (EMS) providers show varied knowledge and comfort with spinal immobilization protocols. Education is needed for devices like the Kendrick Extrication Device and managing penetrating trauma.

Keywords:
EMS protocolsEMS provider attitudesEMS providersselective spinal immobilizationspinal immobilization

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Area of Science:

  • Emergency Medicine
  • Trauma Care
  • Prehospital Care

Background:

  • Prehospital spinal immobilization knowledge has advanced, but Emergency Medical Services (EMS) provider opinions and awareness of research are unknown.
  • Non-selective spinal immobilization protocols are common, yet provider attitudes and knowledge require examination.

Purpose of the Study:

  • To assess prehospital and Emergency Department (ED) EMS provider attitudes, knowledge, and comfort levels regarding non-selective spinal immobilization.
  • To identify gaps in understanding and practice related to spinal immobilization techniques and protocols.

Main Methods:

  • An online survey was administered to EMS providers from fire and rescue services and hospital EDs.
  • Data collection occurred between May and July 2011, utilizing multiple-choice and Likert scale questions.
  • Descriptive statistics and correlation analysis were employed to interpret survey results.

Main Results:

  • Emergency Department (ED) providers reported low comfort with the Kendrick Extrication Device, though experienced providers were more comfortable.
  • Many providers believed spinal immobilization is appropriate for penetrating chest and abdominal trauma.
  • Use of backboard padding decreased, and providers often cited mechanism of injury as the sole reason for immobilization.

Conclusions:

  • Improved EMS education is necessary for the Kendrick Extrication Device, backboard padding, and managing penetrating trauma with spinal immobilization.
  • Provider attitudes suggest a need for reconsidering selective spinal immobilization protocols to optimize patient care and reduce delays.