TAILIEUCHUNG - Báo cáo y học: " The lateral trauma position: What do we know about it and how do we use it? A cross-sectional survey of all "

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: The lateral trauma position: What do we know about it and how do we use it? A cross-sectional survey of all | Fattah et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 45 http content 19 1 45 SCANDINAVIAN JOURNALOF Et emergency medicine ORIGINAL RESEARCH Open Access The lateral trauma position What do we know about it and how do we use it A cross-sectional survey of all Norwegian emergency medical services Sabina Fattah1 2 Guri R Ekas1 3 Per Kristian Hyldmo4 and Torben Wisborg1 5 Abstract Background Trauma patients are customarily transported in the supine position to protect the spine. The Airway Breathing Circulation Disability and Exposure ABCDE principles clearly give priority to airways. In Norway the lateral trauma position LTP was introduced in 2005. We investigated the implementation and current use of LTP in Norwegian Emergency Medical Services EMS . Methods All ground and air EMS bases in Norway were included. Interviews were performed with ground and air EMS supervisors. Questionnaires were distributed to ground EMS personnel. Results Of 206 ground EMS supervisors 201 answered 75 reported that LTP is used. In services using LTP written protocols were present in 67 and 73 had provided training in LTP use. Questionnaires were distributed to 3 025 ground EMS personnel. We received 1 395 46 valid questionnaires. LTP was known to 89 of respondents but only 59 stated that they use it. Of the respondents using LTP 77 reported access to written protocols. Flexing of the top knee was reported by 78 20 flexed the bottom knee 81 used under head padding. Of 24 air EMS supervisors 23 participated. LTP is used by 52 of the services one of these has a written protocol and three arrange training. Conclusions LTP is implemented and used in the majority of Norwegian EMS despite little evidence as to its possible benefits and harms. How the patient is positioned in the LTP differs. More research on LTP is needed to confirm that its use is based on evidence that it is safe and effective. Background The traditional method for moving and

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