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Evaluating the Efficacy of Strategies for Immobilizing the Thoracic-Lumbar Backbone.

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Evaluating the Efficacy of Strategies for Immobilizing the Thoracic-Lumbar Backbone.

Air Med J. 2018 Might – Jun;37(three):178-185

Authors: Rahmatalla S, DeShaw J, Stilley J, Denning G, Jennissen C

Summary
OBJECTIVE: The aim of this examine was to check the relative efficacy of immobilization techniques in limiting thoracic-lumbar actions.
METHODS: A dynamic simulation system was used to breed transport-related shocks and vibration, and involuntary actions of the thoracic-lumbar area have been measured utilizing three immobilization configurations.
RESULTS: The vacuum mattress and the lengthy backbone board have been usually simpler than the cot alone in decreasing thoracic-lumbar rotation and flexion/extension. Nevertheless, the vacuum mattress lowered these thoracic-lumbar actions to a better extent than the lengthy backbone board. As well as, the vacuum mattress considerably decreased thoracic-lumbar lateral motion relative to the cot alone underneath all simulated transport circumstances. In distinction, the lengthy backbone board allowed better lateral motion than the cot alone in a variety of the simulated transport rides.
CONCLUSION: Below the examine circumstances, the vacuum mattress was simpler for limiting involuntary actions of the thoracic-lumbar area than the lengthy backbone board. Furthermore, the elevated lateral bend noticed with the lengthy backbone board underneath some circumstances suggests it might be insufficient for immobilizing this anatomic area as presently designed. Ought to emergency medical service suppliers select to immobilize sufferers with suspected accidents of the thoracic-lumbar backbone, examine outcomes assist using the vacuum mattress.

PMID: 29735231 [PubMed – in process]

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