The use of spinal immobilisation in the prehospital environment An Essay

The example of spinal immobilisation in the prehospital environment An investigative study - Essay ExampleFindings such as continuous oozing, subcutaneous emphysema and especially expanding haematoma were initially missed.Current literature does not instantaneously address the indications, benefit and risk concerning so-called immobilization for penetrating neck injuries. This is true for both journals and study trauma textbooks. Most authors simply recommend that all patients with such injuries should be immobilized, or merely secernate that such is the practice in their emergency department and pre-hospital trauma perplexity. Even the manual of the ATLS does not function a distinction between blunt and penetrating neck trauma, frequently stating that whatsoever patient with a suspected goading injury must be immobilized above and below the suspected injury identify until injury has been excluded by roentgenograms. In addition it stresses that cervical spine injury require s continuous immobilization of the wide-cut patient with a semi-rigid cervical collar, backboard, tape and straps before and during transfer to a definite-care facility. (Sauerland, 2004) In insight analysis of the text following these statements reveals that the author is referring only to casualties from blunt injuryAlthough there is no proved benefit of spin... Immobilization has been demonstrated to cause back and head pain, resulting in an increased procedure of radiographs required to clear the spine in the emergency department (ED). Rigid spine immobilization can too cause pressure-related tissue breakdown, restrict respirations, and, if used aggressively, actually cause spinal cord injury. (Jones, 2004)Importance of spinal anaesthesia ImmobilizationED studies have confirmed the ability of clinical criteria to reliably determine the need for spine radiographs, although the majority of these have addressed only the cervical spine. Stevens reported that only a small numbe r of patients with cervical spine injury escaped capture using clinical clearance criteria in the ED. Although the ED use of clinical spine clearance protocols has been reported, the validity of using a similar protocol in the EMS setting has not been fully addressed. The goal of prehospital management of SCI is to reduce neurological deficit and to prevent any additional loss of neurological function. (March, 2002) Therefore, prehospital management at the video should include a rapid original evaluation of the patient, resuscitation of vital functions (airway, breathing, circulation the ABCs), a more detailed secondary assessment, and finally definitive care (including transport and admission to a trauma centre). Moreover, after arrival at the scene, it is important to read the scene and to appreciate the mechanism of injury in order to identify the potential for SCI. Prehospital management in general and the management of the airway and ventilation in particular should include i mmobilisation of the spine in louche cases to reduce the risk of a secondary SCI. (Hoffman, 2000) Cardiovascular