ArticleEmergency medicine journal : EMJ2015
Confirmation of suboptimal protocols in spinal immobilisation?
Article in Emergency medicine journal : EMJ, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Norwegian guidelines for the prehospital management of adult trauma patients with potential spinal injury.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Pooled it
- Article
- Biomechanical analysis of spinal misalignment during Vehicular extrication maneuvers performed by professional rescue teams.Heliyon · 2024Article
- Recommendation for changes to the guidelines of trauma patients with potential spinal injury within a regional UK ambulance trust.British paramedic journal · 2022Article
- Removal of the cervical collar from alpine rescue protocols? A biomechanical non-inferiority trial in real-life mountain conditions.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- A Delphi study of rescue and clinical subject matter experts on the extrication of patients following a motor vehicle collision.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Review
- Evaluating prehospital care of patients with potential traumatic spinal cord injury: scoping review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Assessing spinal movement during four extrication methods: a biomechanical study using healthy volunteers.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- Maximum movement and cumulative movement (travel) to inform our understanding of secondary spinal cord injury and its application to collar use in self-extrication.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- The role of cervical collars and verbal instructions in minimising spinal movement during self-extrication following a motor vehicle collision - a biomechanical study using healthy volunteers.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Effect of a cervical collar on head and neck acceleration profiles during emergency spinal immobilisation and extrication procedures in elite football (soccer) players: protocol for a randomised, controlled cross-over trial.BMJ open sport & exercise medicine · 2021Article
- On-scene treatment of spinal injuries in motor sports.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpinal immobilisation during extrication of patients in road traffic collisions is routinely used despite the lack of evidence for this practice. In a previous proof of concept study (n=1), we recorded up to four times more cervical spine movement during extrication using conventional techniques than self-controlled extrication.
objectiveThe objective of this study was to establish, using biomechanical analysis which technique provides the minimal deviation of the cervical spine from the neutral in-line position during extrication from a vehicle in a larger sample of variable age, height and mass.
methodsA crew of two paramedics and four fire-fighters extricated 16 immobilised participants from a vehicle using six techniques for each participant. Participants were marked with biomechanical sensors and relative movement between the sensors was captured via high-speed infrared motion analysis cameras. A three-dimensional mathematical model was developed and a repeated-measures analysis of variance was used to compare movement across extrication techniques.
resultsControlled self-extrication without a collar resulted in a mean movement of 13.33° from the neutral in-line position of the cervical spine compared to a mean movement of 18.84° during one of the equipment-aided extrications. Two equipment-aided techniques had significantly higher movement (p<0.05) than other techniques. Both height (p=0.003) and mass (p=0.02) of the participants were significant independent predictors of movement.
conclusionsThese data support the findings of the proof of concept study, for haemodynamically stable patients controlled self-extrication causes less movement of the cervical spine than extrications performed using traditional prehospital rescue equipment.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.