Original contributionDuration of patient immobilization in the ED☆
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Cited by (30)
Finnish and Swedish prehospital emergency care providers’ knowledge and attitudes towards pressure ulcer prevention
2021, International Emergency NursingCytokine IL1α and lactate as markers for tissue damage in spineboard immobilisation. A prospective, randomised open-label crossover trial
2017, Journal of the Mechanical Behavior of Biomedical MaterialsCitation Excerpt :These methods are considered particularly essential for unconscious trauma patients, who are unable to maintain spinal alignment by muscle tone and thus need to be protected from any subsequent spinal injury. Although there is a general consensus that the patient should be removed from the spineboard as soon as reasonably possible (American College of Surgeons Committee on Trauma, 2012; Ahn et al., 2011; Vickery, 2001), the average time they are reported to be supported on a spineboard has been estimated to be approximately one hour (Cooney et al., 2013; Lerner and Moscati, 2000; Yeung et al., 2006) but in some cases may be markedly longer (Lerner and Moscati, 2000; Schouten et al., 2012). Prolonged immobilisation on the spineboard causes significant discomfort and pain (Kwan and Bunn, 2005) and, on occasions, may cause pressure ulcers to develop adjacent to bony prominences (Schouten et al., 2012).
The effect of trauma backboards on computed tomography radiation dose
2016, Clinical RadiologyA numerical study to analyse the risk for pressure ulcer development on a spine board
2013, Clinical BiomechanicsCitation Excerpt :Since the spine needs to be immobilised during this period, the removal of patients from the spine board represents a low priority issue to the emergency room staff. Indeed the average time patients are reported to spend on a spine board has been estimated at 77 min (Lerner and Moscati, 2000; Sheerin and de Frein, 2007) although, in some cases it can exceed 2 h (Malik and Lovell, 2003; Yeung et al., 2006). Although stabilisation of the spine remains a critical requirement for trauma patients, it is also clear that prolonged immobilisation on the spine board causes pain and discomfort (Cordell et al., 1995; Hauswald et al., 2000; Zlupko et al., 2004) and, on occasions, may lead to the development of pressure ulcers (Baldwin and Ziegler, 1998; Cordell et al., 1995; Watts et al., 1998).
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Presented at the ACEP Research Forum, San Francisco, CA, October 18, 1997.