A Lost Art?
Do you perform a “Rapid Roll Out” on almost every MVA? How can you
clinically justify this practice? It is intended to be reserved for the
multi-system trauma patient with low blood pressure. But today very few
MVA victims get any short spine precautions other than a c-collar. They
just get yanked out on a long board. While this appears to ignore basic
standards of care, little has been done to prevent it.
illuminating review of this issue was performed several years ago in
Eastern Pennsylvania. MVA Run report data was reviewed and compiled. It
is hard to believe, but only 170 patients out over 20,000 long spine
boarded had any type of short spine device applied. Don’t your patients
deserve better? I have been upset about all these patients getting at
best a "No-Neck"(wrong) sized cervical collar & then rolled out the
door. It makes no sense. So I decided to do something about it.
been many years since any original thought had been devoted to short
spine care. I thought the key design objectives would be; Easy to
Apply, Easy to Use, Easy to Clean. A simple, fast, shortboard for rapid
extrication was what I had in mind. I think I did it. The Speedboard
has been used by many with great success.