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Despite its history of use, there is no evidence that backboards immobilize the spine, nor do they improve the person's outcomes. Additionally, cervical spine motion restriction has been shown to increase mortality in people with penetrating trauma and can cause pain, agitation, respiratory
197:
Spine boards are typically made of wood or plastic, although there has been a strong shift away from wood boards due to their higher level of maintenance required to keep them in operable condition and to protect them from cracks and other imperfections that could harbor bacteria.
214:
The vacuum mattress may reduce sacral pressures compared to backboards. The conforming nature of the vacuum mattress means that people can be kept immobilized on it for longer periods of time and the immobilisation offers superior stability and comfort. The
156:
development, inadequacy of spinal motion restriction, pain and discomfort, respiratory compromise and effects on the quality of radiological imaging. For this reason, some professionals view them as unsuitable for the task, preferring alternatives.
201:
Backboards are designed to be slightly wider and longer than the average human body to accommodate the immobilization straps, and have handles for carrying the patient. Most backboards are designed to be completely
473:
Singletary, Eunice M.; Charlton, Nathan P.; Epstein, Jonathan L.; Ferguson, Jeffrey D.; Jensen, Jan L.; MacPherson, Andrew I.; Pellegrino, Jeffrey L.; Smith, William “Will” R.; Swain, Janel M. (2015-11-03).
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translucent so that they do not interfere with the exam while patients are strapped to them. They are light enough to be easily carried by one person, and are usually buoyant.
551:
128:. The person should be transferred from the board to a hospital bed as soon as possible. For comfort and safety reasons, it is recommended to transfer the person to a
97:
staff, as well as lifeguards and ski patrollers. Historically, backboards were also used in an attempt to "improve the posture" of young people, especially girls.
190:
side head supports, such as a rolled blanket or head blocks (head immobilizer) made specifically for this purpose, used to avoid the lateral rotation of the head;
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care. It is designed to provide rigid support during movement of a person with suspected spinal or limb injuries. They are most commonly used by
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Due to lack of evidence to support long-term use, the practice of keeping people on long boards for prolonged periods of time is decreasing.
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It is advised that no patient should spend more than 30 minutes on a spine board, due to the development of discomfort and pressure sores.
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Backboards were invented to be a "highly polished surface" to move a person to an EMS bed, not to be used as spinal securing device.
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112:. After a time people were simply kept on the spine board for transport without evidence supporting this need.
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National
Association of EMS Physicians and American College of Surgeons Committee on Trauma. January 15, 2013
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Sundstrøm, Terje; Asbjørnsen, Helge; Habiba, Samer; Sunde, Geir Arne; Wester, Knut (2013-08-20).
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A spinal board is primarily indicated for judicious use to transport people who may have had a
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658:"Comparison of a long spinal board and vacuum mattress for spinal immobilisation"
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straps to secure the patient to the long spine board, and tape to secure the head
124:, usually due to the mechanism of injury, and the attending team are not able to
299:"The use of the spinal board after the pre-hospital phase of trauma management"
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Backboards are almost always used in conjunction with the following devices:
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Position
Statement: EMS Spinal Precautions and the Use of the Long Backboard
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418:"Prehospital Use of Cervical Collars in Trauma Patients: A Critical Review"
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525:"Weighing the Pros & Cons of Current Spine Immobilization Techniques"
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Sen, Ayan (2005). "Spinal
Immobilisation in Prehospital Trauma Patient".
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710:. Philadelphia: Lippincott Williams & Wilkins. 2004. p. 37.
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The spinal backboard was originally designed as a device to
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Common clinical issues found with spinal boards include
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236:"Online training manual for Neann Long Spine Board"
136:or long spine board is just used for the transfer.
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28:
40:Spinal motion restriction with a long spine board
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140:compromise, and can lead to the development of
89:handling device used primarily in pre-hospital
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175:Head immobilizer at the top of the backboard.
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352:Ambulance Service Basic Training 3rd Edition
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565:"Spinal immobilization. Time for a change"
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681:
491:
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269:Journal of Emergency Primary Health Care
624:(1). Emergency Medicine Journal: 51–54.
365:"Red Cross Lifeguard Management Guide".
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16:Device used in pre-hospital trauma care
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827:Advanced emergency medical technician
569:Journal of Emergency Medical Services
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656:Luscombe, MD; Williams, JL (2003).
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19:For a backboard in basketball, see
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595:"The Evidence Against Backboards"
187:with occipital padding as needed;
1:
822:Emergency medical technician
812:Emergency medical dispatcher
493:10.1161/CIR.0000000000000269
256:. Royal Life Saving Society.
110:remove people from a vehicle
1061:Emergency medical equipment
1010:Critical emergency medicine
928:Kendrick extrication device
900:Nontransporting EMS vehicle
890:Light horse field ambulance
817:Emergency medical responder
618:"Spinal Boards do NOT work"
217:Kendrick extrication device
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758:Emergency medical services
662:Emergency Medicine Journal
303:Emergency Medicine Journal
18:
1056:Medical transport devices
797:Certified first responder
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563:Morrissey, J (Mar 2013).
486:(18 suppl 2): S574–S589.
132:instead, in which case a
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33:
807:Emergency care assistant
575:(3): 28–30, 32–6, 38–9.
219:is another alternative.
126:rule out a spinal injury
637:Cite journal requires
422:Journal of Neurotrauma
176:
52:long spine board (LSB)
779:Advanced life support
616:Tasker-Lynch, Aidan.
434:10.1089/neu.2013.3094
174:
895:Motorcycle ambulance
858:Air medical services
674:10.1136/emj.20.5.476
476:"Part 15: First Aid"
297:Vickery, D. (2001).
1030:Wilderness medicine
837:Emergency physician
315:10.1136/emj.18.1.51
1020:Emergency medicine
948:Spinal precautions
774:Basic life support
254:Beach Lifeguarding
177:
1038:
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1025:Military medicine
1005:Aviation medicine
989:Search and rescue
979:Ambulance station
378:Missing or empty
252:Whatling, Shaun.
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1051:Rescue equipment
915:Casualty lifting
842:Medical director
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55:long back board
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998:Related fields
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668:(5): 476–478.
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599:. Retrieved
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529:. Retrieved
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309:(1): 51–54.
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210:Alternatives
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167:Construction
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116:Medical uses
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83:spinal board
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29:Spinal board
597:. EMS World
480:Circulation
46:Other names
1045:Categories
880:Blood bike
380:|url=
223:References
58:spineboard
21:Basketball
953:Stretcher
863:Ambulance
832:Paramedic
502:0009-7322
442:0897-7151
399:Jane Eyre
281:1447-4999
95:ambulance
61:backboard
963:Weevac 6
920:movement
851:Vehicles
692:12954698
581:23717917
510:26473003
460:23962031
371:cite web
333:11310463
238:. Neann.
142:bedsores
868:history
683:1726197
451:3949434
324:1725508
87:patient
85:, is a
933:Litter
789:People
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601:15 May
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531:16 May
527:. JEMS
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91:trauma
972:Other
275:(3).
204:X-ray
70:[
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712:ISBN
688:PMID
643:help
603:2015
577:PMID
533:2015
506:PMID
498:ISSN
456:PMID
438:ISSN
396:Cf.
384:help
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678:PMC
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311:doi
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Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
