Kunze-Szikszay, Nils

[["dc.bibliographiccitation.artnumber","46"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine"],["dc.bibliographiccitation.volume","29"],["dc.contributor.author","MS, Roessler"],["dc.contributor.author","Riffelmann, M"],["dc.contributor.author","Kunze-Szikszay, N."],["dc.contributor.author","Lier, M"],["dc.contributor.author","Schmid, O"],["dc.contributor.author","Haus, H"],["dc.contributor.author","Schneider, S"],["dc.contributor.author","JF, Heuer"],["dc.date.accessioned","2021-04-14T08:28:07Z"],["dc.date.accessioned","2022-08-16T12:42:16Z"],["dc.date.available","2021-04-14T08:28:07Z"],["dc.date.available","2022-08-16T12:42:16Z"],["dc.date.issued","2021-03-11"],["dc.date.updated","2022-07-29T12:17:56Z"],["dc.description.abstract","Abstract\r\n \r\n Background\r\n Spinal stabilisation is recommended for prehospital trauma treatment. In Germany, vacuum mattresses are traditionally used for spinal stabilisation, whereas in anglo-american countries, long spine boards are preferred. While it is recommended that the on-scene time is as short as possible, even less than 10 minutes for unstable patients, spinal stabilisation is a time-consuming procedure. For this reason, the time needed for spinal stabilisation may prevent the on-scene time from being brief. The aim of this simulation study was to compare the time required for spinal stabilisation between a scoop stretcher in conjunction with a vacuum mattress and a long spine board.\r\n \r\n \r\n Methods\r\n Medical personnel of different professions were asked to perform spinal immobilizations with both methods. A total of 172 volunteers were immobilized under ideal conditions as well as under realistic conditions. A vacuum mattress was used for 78 spinal stabilisations, and a long spinal board was used for 94. The duration of the procedures were measured by video analysis.\r\n \r\n \r\n Results\r\n Under ideal conditions, spinal stabilisation on a vacuum mattress and a spine board required 254.4 s (95 % CI 235.6–273.2 s) and 83.4 s (95 % CI 77.5–89.3 s), respectively (p < 0.01). Under realistic conditions, the vacuum mattress and spine board required 358.3 s (95 % CI 316.0–400.6 s) and 112.6 s (95 % CI 102.6–122.6 s), respectively (p < 0.01).\r\n \r\n \r\n Conclusions\r\n Spinal stabilisation for trauma patients is significantly more time consuming on a vacuum mattress than on a long spine board. Considering that the prehospital time of EMS should not exceed 60 minutes and the on-scene time should not exceed 30 minutes or even 10 minutes if the patient is in extremis, based on our results, spinal stabilisation on a vacuum mattress may consume more than 20 % of the recommended on-scene time. In contrast, stabilisation on a spine board requires only one third of the time required for that on a vacuum mattress.\r\n We conclude that a long spine board may be feasible for spinal stabilisation for critical trauma patients with timesensitive life threatening ABCDE-problems to ensure the shortest possible on-scene time for prehospital trauma treatment, not least if a patient has to be rescued from an open or inaccessible terrain, especially that with uneven overgrown land."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2021"],["dc.identifier.citation","Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2021 Mar 11;29(1):46"],["dc.identifier.doi","10.1186/s13049-021-00854-w"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17743"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/82507"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/112740"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.notes.intern","Merged from goescholar"],["dc.relation.eissn","1757-7241"],["dc.relation.orgunit","Klinik für Anästhesiologie"],["dc.rights","CC BY 4.0"],["dc.rights.holder","The Author(s)"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.subject","Long spine board"],["dc.subject","Prehospital trauma treatment"],["dc.subject","Spinal stabilisation"],["dc.subject","Vacuum mattress"],["dc.title","Vacuum mattress or long spine board: which method of spinal stabilisation in trauma patients is more time consuming? A simulation study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]