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dc.contributor.authorHorodyski, MaryBeth
dc.contributor.authorConrad, Bryan P.
dc.contributor.authorDel Rossi, Gianluca
dc.contributor.authorDiPaola, Christian P.
dc.contributor.authorRechtine, Glen R. II
dc.date2022-08-11T08:10:09.000
dc.date.accessioned2022-08-23T16:57:07Z
dc.date.available2022-08-23T16:57:07Z
dc.date.issued2011-05-26
dc.date.submitted2012-01-24
dc.identifier.citationJ Trauma. 2011 May;70(5):1282-5; discussion 1285. <a href="http://dx.doi.org/10.1097/TA.0b013e31820ff2bc">Link to article on publisher's site</a>
dc.identifier.issn0022-5282 (Linking)
dc.identifier.doi10.1097/TA.0b013e31820ff2bc
dc.identifier.pmid21610441
dc.identifier.urihttp://hdl.handle.net/20.500.14038/43073
dc.description.abstractBACKGROUND: After spine board immobilization of the trauma victim and transport to the hospital, the patient is removed from the spine board as soon as practical. Current Advanced Trauma Life Support's recommendations are to log roll the patient 90 degrees, remove the spine board, inspect and palpate the back, and then log roll back to supine position. There are several publications showing unacceptable motion in an unstable spine when log rolling. METHODS: Cervical spine motion was evaluated during spine board removal. A C5 to C6 instability was surgically created in cadavers. A three-dimensional electromagnetic tracking system was used to assess motion between C5 and C6. The log roll was compared with a lift-and-slide technique. Throughout the log roll procedure, manual inline cervical stabilization was provided by a trained individual in a series of trials. In other trials, the lift-and-slide technique was used. In the final stage, the amount of motion generated was assessed when the spine board removal techniques were completed by experienced and novice persons in maintaining inline stabilization of the head and neck. RESULTS: Motion between C5 and C6 was reduced during the lift-and-slide technique in five of six parameters. The reduction was statistically significant in four parameters. When performing the log roll, motion was not reduced with increased head holder experience. CONCLUSIONS: Spine boards can be removed using a lift-and-slide maneuver with less motion and potentially less risk to the patient's long-term neurologic function than expected using the log roll.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=21610441&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1097/TA.0b013e31820ff2bc
dc.subjectBiomechanics
dc.subjectCadaver
dc.subjectCervical Vertebrae
dc.subjectHumans
dc.subjectImmobilization
dc.subject*Lifting
dc.subject*Motion
dc.subject*Orthopedic Equipment
dc.subjectSpinal Injuries
dc.subjectTransportation of Patients
dc.subjectOrthopedics
dc.subjectRehabilitation and Therapy
dc.titleRemoving a patient from the spine board: is the lift and slide safer than the log roll
dc.typeJournal Article
dc.source.journaltitleThe Journal of trauma
dc.source.volume70
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/ortho_pp/87
dc.identifier.contextkey2468287
html.description.abstract<p>BACKGROUND: After spine board immobilization of the trauma victim and transport to the hospital, the patient is removed from the spine board as soon as practical. Current Advanced Trauma Life Support's recommendations are to log roll the patient 90 degrees, remove the spine board, inspect and palpate the back, and then log roll back to supine position. There are several publications showing unacceptable motion in an unstable spine when log rolling.</p> <p>METHODS: Cervical spine motion was evaluated during spine board removal. A C5 to C6 instability was surgically created in cadavers. A three-dimensional electromagnetic tracking system was used to assess motion between C5 and C6. The log roll was compared with a lift-and-slide technique. Throughout the log roll procedure, manual inline cervical stabilization was provided by a trained individual in a series of trials. In other trials, the lift-and-slide technique was used. In the final stage, the amount of motion generated was assessed when the spine board removal techniques were completed by experienced and novice persons in maintaining inline stabilization of the head and neck.</p> <p>RESULTS: Motion between C5 and C6 was reduced during the lift-and-slide technique in five of six parameters. The reduction was statistically significant in four parameters. When performing the log roll, motion was not reduced with increased head holder experience.</p> <p>CONCLUSIONS: Spine boards can be removed using a lift-and-slide maneuver with less motion and potentially less risk to the patient's long-term neurologic function than expected using the log roll.</p>
dc.identifier.submissionpathortho_pp/87
dc.contributor.departmentDepartment of Orthopedics and Physical Rehabilitation
dc.source.pages1282-5; discussion 1285


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