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Backboard usage

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  • Backboard usage

    Hey guys hope y'all are doing well, Alabama is updating EMS protocols and it looks backboards are pretty much being almost phased out. We have been working towards that for a few years now. The protocol is something like NO pt will be transported on a backboard unless they have paralysis.
    We can/will still use them for moving pt and such..... I guess it's about time, we are pretty much the only country that uses the damn things in the first place
    Get the first line into operation.

  • #2
    We made the transition in NY a couple of years ago. The tool to have now is a scoop stretcher, but only to move the patient off the ground and onto the cot.
    Opinions my own. Standard disclaimers apply.

    Everyone goes home. Safety begins with you.

    Comment


    • #3
      Originally posted by tree68 View Post
      We made the transition in NY a couple of years ago. The tool to have now is a scoop stretcher, but only to move the patient off the ground and onto the cot.
      Those are great, we have one of the new vacuum mattresses those things are amazing but you better damn well make sure you get it back from the hospital because the chief will have our ***
      Get the first line into operation.

      Comment


      • #4
        Being used much less here too. Mostly based on protocols and the discretion of the ambo crew.
        Crazy, but that's how it goes
        Millions of people living as foes
        Maybe it's not too late
        To learn how to love, and forget how to hate

        Comment


        • #5
          Originally posted by tree68 View Post
          We made the transition in NY a couple of years ago. The tool to have now is a scoop stretcher, but only to move the patient off the ground and onto the cot.
          That is so funny, when I started in the 90s we could use scoop stretchers for many things, but if we got it anywhere near a C spine pt it was taken as a sure sign you were a crappy medic. How things change.

          They are a great tool.

          About time with the C spine changes, seems like it was talked about forever but we were stuck with rigid C-spine protocols long after it was known we were probably causing more injuries than preventing.

          Comment


          • #6
            Originally posted by Here and there View Post
            About time with the C spine changes, seems like it was talked about forever but we were stuck with rigid C-spine protocols long after it was known we were probably causing more injuries than preventing.
            Yeah - we've been hearing for a while about how other countries around the world consider us almost barbaric for our use of the long board, etc.

            Opinions my own. Standard disclaimers apply.

            Everyone goes home. Safety begins with you.

            Comment


            • #7
              We switched over almost four years ago & it seemed long overdue. I've actually seen crews board & collar a patient who should have signed a refusal and left on his own... all because of "mechanism of injury." "Bump on the head? You could have broken your neck!" I'm so glad those days are over.

              The only time you get a long spine board with us is if you have:
              • Documented neurological deficit on scene
              • Unconscious patient
              • Patient unable to follow commands or
              • Combative patient
              We use the cervical collar for our trauma patients that have at least one of the following:
              • Neck pain
              • Pain upon palpation or movement of the cervical spine
              • Neurological deficits
              • A distracting injury, such as a femur fracture
              • ANY injury above the clavicle
              • Altered mental status (due to intoxication, head injury, etc.)
              • Is at the extremes of ages so as to be a poor historian
              sigpic

              Comment


              • #8
                Originally posted by L-Webb View Post

                Those are great, we have one of the new vacuum mattresses those things are amazing but you better damn well make sure you get it back from the hospital because the chief will have our ***
                New ? We used a scoop stretcher and a vacuum bean bag for spine trauma 25 years ago.

                A biotch to decon after a 'juicy' trauma.

                Comment


                • #9
                  Originally posted by L-Webb View Post

                  Those are great, we have one of the new vacuum mattresses those things are amazing but you better damn well make sure you get it back from the hospital because the chief will have our ***
                  Then you get the ER doc with scissors in hand, ready to remove it....
                  Opinions my own. Standard disclaimers apply.

                  Everyone goes home. Safety begins with you.

                  Comment


                  • #10
                    Originally posted by L-Webb View Post

                    Those are great, we have one of the new vacuum mattresses those things are amazing but you better damn well make sure you get it back from the hospital because the chief will have our ***
                    I WISH we could get those, but I tried for 20 years just to get them to buy friggin' back board straps and couldn't even get them to buy those. Welcome to big city FD's....
                    I still use them on occasion, but only with significant trauma or to move a pt. on stairs and fractured hips. But I pad as much can, and I try not to leave them on them if possible.
                    Mongo just pawn in game of life...

                    Comment


                    • #11
                      Reminds me of when the car I was in was t-boned as a teenager (1986ish). I was up and walking around outside of the car afterwards but was collared and strapped to a backboard because of "mechanism". I remained strapped in for over 3 hours in the hallway of a busy ER. Every now and then a doctor would peer down on me - "How are you doing?"

                      Fun times *sigh*

                      Comment

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