Archive

Archive for the ‘Cervical Spine Management’ Category

Lt. Douglas Ulsh’s XCollar Experience

We received this incredible letter a couple days ago, and Lt. Ulsh kindly gave us permission to share his experience. Thank you for the inspiring words sir and our team wishes you a full recovery and good health!

_______________________________________________________________________________________

“I thank you for the experience with your equipment. I recently had broken my own neck in a horse accident. So instead of calling for an ambulance I had administered the X-collar, which I had in my pickup, with the help of my wife. I chose not to go to the hospital via ambulance because I could move everything; my neck was a little sore is all. After the CAT scan at the hospital the Dr. came in and said I broke c-2 severely and needed a halo without having surgery.

I believe that without the use of your collar I would be paralyzed or not even here.

I had it on for around 7 hours with no movement and was put into a halo for the last 10 weeks and am expecting to get it removed in 1 week with a full recovery.

P.S. I have been telling everyone I know in the pre-hospital setting about the experience and outcome with the x-collar.

Again Thank You,”

-Lt. Douglas Ulsh

Montana Air National Guard Fire Department

Click here to view the full testimonial.

X Collar C-Collar Cervical Splint

XCollar Cervical Spine Management

EMS River Rescue – XCollar & Anaconda Extrication Device

Watch as Pedro Barranco and T.E.S. personnel in Spain field demonstrate an excellent river rescue; performing a cervical spine immobilization and patient extrication procedure using the XCollar splinting system and the Anaconda extrication device.

Visit www.xcollar.com for more information.

Formasem Formación Google+: https://plus.google.com/u/1/115260691511954197500/posts

-Credits-
Directed by: Pedro Barranco

Interpreted By:
Borja Santamaria
Xaro Terrades
Marlise Defferrarad
Ramiro Bonastre
Esther Colubi
Andres Seresola
Diego

Filmed in Pego (Alicante), Spain

Nighttime Search & Rescue – Earthquake Aftermath Field Demo

Pedro Barranco and T.E.S. return again for another exciting demonstration of how they respond to a “critically injured” prone patient in the aftermath of an earthquake, or when searching through damaged structures.

After entering and searching a semi-collapsed building in the middle of night, they perform spine immobilization procedures on the prone patient using the XCollar cervical spine splinting system before evacuating from the building.

Visit us at www.xcollar.com for more information.

Formasem Formación Google+: https://plus.google.com/u/1/115260691511954197500/posts

Directed by: Pedro Barranco

Music:
Adele – Set Fire
Olafur Arnalds – Near Light
Dustin O’Halloran – Quintette N.1

EMS MCI & Triage: 6 Patients Treated – Pedro Barranco & XCollar

Pedro Barranco and T.E.S. personnel in Spain field demonstrate timely and effective cervical spine immobilization procedures on 6 patients in less than 7 minutes during a Mass Casualty Incident using the XCollar cervical spine splinting device.

A clinical study comparing three cervical collars states: “The XCollar can provide an acceptable alternative to manual cervical stabilization in situations where the number of patients exceeds the number of EMS providers available to provide care”.

Click here to view and download referenced clinical study.

To learn more about the emerging practice of cervical spine splinting please visit us at www.xcollar.com

Click here to view and download an informational facts sheet about cervical spine splinting.

Music Credits:
1. Mission Impossible Theme
2. Windmill – Michita

Excerpt From: Spinal Cord Injury – Assessment Criteria To Determine The Need For Spinal Movement Restriction

Cervical Spine Management

We found this paper to be highly educational; it outlines the groundwork on which the Austin-Travis County EMS System protocols were formed, and offers insight on why certain assessment criteria was determined to provide the best patient care, in addition to providing a general instruction on prehospital management procedures and devices.

The following excerpt is from the paper titled “Spinal Cord Injury: Assessment Criteria To Determine The Need For Spinal Movement Restriction”

Click here to read and download the document in full.

——————————————————-

Prehospital Management (P. 22)

Spine Injury = Bone Injury

For the practical purpose of injury management, it is best to think of the spine as a “long bone” with a “joint” at either end and to approach spine injury in essentially the same way that we would approach injury to any other bone or joint.

Like other musculoskeletal injuries with potentially unstable bone fragments, the principal goal of field treatment is to protect adjacent structures from damage during patient movement and transport.  In the case of injury or suspected injury to the bony spinal column, the principal goal of treatment is to protect the sensitive spinal cord from further secondary injury from unstable bony structures during extrication and transport.

By some estimates, about 15% of cord injuries actually reflect secondary injury that might have been prevented with proper treatment.  Treatment has little or no effect on primary injury; the only effective management involves seat belts, drunk driving laws, and other measures aimed at prevention.  A great deal can be done to minimize secondary cord injury, however, and this is the focus of our treatment efforts.

Initial Treatment = Complete Spine Immobilization 

It is impossible to localize a spine injury to a specific area of the spine unless a) the patient and the exam are reliable, or b) x-rays or other similar techniques are available.  Since neither of these conditions generally apply to initial management in the field setting, it is best to treat all suspected spine injuries as if the entire spine were injured.  Remember that although the C-spine is the most common site injured, it is not the only site injured.  Remember also that C-spine injuries are often associated with injuries to other areas of the spine.  So it is best to refer to spine injuries in the field simply as “spine injuries,” and not as “C-spine injuries” unless the injury is known to be localized to the C-spine only.

It is best to initially immobilize the entire spine until the specific site of injury is known.  Like any other injury to bony structures, spine injuries should be treated by including the “joint above” and the “joint below” in the splint.

Since the injury is assumed to be anywhere in the spine, full immobilization should include the head, neck, pelvis, and hips.

———————

Sources:

  1. i Bledsoe BE, et al, Paramedic Care: Principles & Practice Vol.4, Prentice Hall 2001, p. 353
  2. ii Ambu: Directions for use, Ambu Perfit ACE, Adjustable Collar for Extrcication
  3. iii AAOS – Emergency Care and Transportation of the Sick and Injured, 8th Edition, pg. 702
  4. iv Bledsoe BE, et al, Paramedic Care: Principles & Practice Vol.4, Prentice Hall 2001, p. 351
  5. v AAOS – Emergency Care and Transportation of the Sick and Injured, 8th Edition, pg. 707
  6. vi PHTLS: Basic and Advanced Prehospital Trauma Life Support, 4th Edition, Pg.220
  7. vii Bledsoe BE, et al, Paramedic Care: Principles & Practice Vol.4, Prentice Hall 2001, p. 354
  8. viii Bledsoe BE, et al, Paramedic Care: Principles & Practice Vol.4, Prentice Hall 2001, p. 432

Interesting Article & Podcast

Engaging Article & Podcast

Allow Me To Manipulate.. I Mean Immobilize Your Spine – Part I

Just discovered a shout out from Jim Hoffman in the comments of this article. This is a really healthy discussion on spine immobilization and how to consider improvement and pushing towards risk analysis for standard procedures and tools.

Research Blogging Organization

Research Blogging