Transportation of children in spica casts in the USA

Allison Gockley1, William Hennrikus, Shane T Lavin

  • 1Department of Orthopaedic Surgery, Penn State College of Medicine, Hershey, Pennsylvania, USA.

Insights

A hospital restraint loaner program effectively transported children in spica casts. This car seat program provides safe patient care, utilizing various restraints like E-Z-On vests and specialized car seats.

Area of Science:

  • Pediatric Orthopedics
  • Patient Transport Safety
  • Medical Device Programs

Background:

  • Children treated with spica casts require specialized transportation.
  • Existing transportation methods may pose challenges for patient safety and hospital resources.

Purpose of the Study:

  • To evaluate the outcomes of a hospital-based restraint loaner program.
  • To assess the effectiveness and practicality of providing specialized restraints for transporting pediatric patients in spica casts.

Main Methods:

  • A retrospective review of 52 pediatric patients treated with spica casts.
  • Documentation of restraint types used: E-Z-On vests, specialized car seats (Hippo, Spelcast), and family-owned car seats.
  • Inclusion of ambulance transport data for comparison.

Main Results:

  • The program utilized a variety of restraints, including 17 E-Z-On vests and 17 Hippo car seats.
  • Costs for restraints ranged from $150 to $750, with ambulance transport at $1200.
  • Successful patient transport was achieved using the loaner program.

Conclusions:

  • A car seat loaner program is a practical and effective model for safe patient care.
  • The program facilitates appropriate restraint selection by therapists for children in spica casts.
  • Hospital-provided loaner restraints enhance the safety and feasibility of transporting pediatric patients with spica casts.