Trauma Services Backboard Removal Project. First off, we need a volunteer please……. Backboards are frequently used by Pre-hospital to immobilize or extricate patients. They are hard, non-flexible devices Used to keep patients immobile when there is concern for spinal injury.
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Jane was the unrestrained passenger involved in a single auto rollover crash. She was ejected and came to rest under the guard rail when the vehicle rolled over a single time. (At highway speed)
1320 - She was extricated and placed in full spinal immobilization by EMS.
1343 - Arrival to the ED on the back board and she was noted to have no movement of her lower extremities on exam. She was noted to be critically injured.Why did we look at this process?
Her injuries included bilateral rib fractures with a right flail segment, bilateral hemothorax, T9-T10 spine fracture with neuro deficits, and an unstable pelvis fracture.
*134 charts were reviewed for length of time the patient remained on the backboard from ED arrival. * National trauma standard or goal is to remove the backboard < 20 minutes of patient arrival.
52% compliance with standard. Average time to removal - 34 minutes Minimum - on patient arrival- 0 minutes
Maximum - 165 minutes
N= 75 Collection period: October 1st - December 31, 2012
75 charts were reviewed for length of time the patient remained on the backboard from ED arrival
* National trauma standard or goal is to remove the backboard < 20 minutes of patient arrival.
66% compliance with standard. Average time to removal - 22 minutes Minimum - on patient arrival - 0 min Maximum - 169 minutes
Have improved outcomes, and decreased length of stay
Have increased patient satisfaction
Have decreased chance of re-admissionWhy does this matter to me?