Nurses Clearing spine

[dmay4]

anyone clearing l/c spine on minor trauma patients. if so can you relate it to any studies to accuracy, errors, ect. also do you have any education material to share. i am looking into putting together a competency for the staff.

darin

[Altra, BSN, RN]

still amazes me that you will imomobilise any and every patient who presents with neck pain and then keep them immobilised until reviewed by a senior doctor... yet we keep beign told how poor and backwards UK practice is...

probably have you in apoplexy to learn that UK ambulance staff are using the candian c spine rule at scene ( but Uk paramedics are at least considered proper health professionals none ofthe this working on the medicla directors licence stuff)

probably also have you in apoplexy to say we turn people round from triage to primary care or send them to gynae or mentla health without physician eview under agreed guideleins

Not any & every patient w/neck pain ... just those whose story includes some mechanism of injury that makes a collar a good precaution. That would be, you guessed it, remarkably similar to the Canadian c-spine rules you mentioned.

And no I'm not apopleptic that you have the option of directing people from A&E triage to a primary care or gyne setting ... just envious, thanks.

Have a good day.

[Dinith88]

bum poked?

? what?

[ZippyGBR, BSN, RN]

? what?

asssesment of anal tone!

[TrudyRN]

I think only docs should do this.

Ha ha, thinking about a car accident I was in once - got rear-ended at quite low speed, yet had scary back pain. Paramedics had me stand up, get out of the car, then wanted to backboard me. What kind of nuttiness is that?

[ZippyGBR, BSN, RN]

I think only docs should do this.

Ha ha, thinking about a car accident I was in once - got rear-ended at quite low speed, yet had scary back pain. Paramedics had me stand up, get out of the car, then wanted to backboard me. What kind of nuttiness is that?

two answers -

laziness

OR

paramedics 'read the wreck' decided you had a low index of suspicion but had to board you becasue the ED want everyone from RTCs on boards for ass coverage reasons