Zeitbedarf für die präklinische Ganzkörperimmobilisation bei Schwerverletzten

Riffelmann, Martin

Ein Vergleich von Spineboard und Schaufeltrage/Vakuummatratze

dc.contributor.advisor	Roessler, Markus PD Dr.
dc.contributor.author	Riffelmann, Martin
dc.date.accessioned	2022-11-24T09:04:44Z
dc.date.available	2022-12-01T00:50:06Z
dc.date.issued	2022-11-24
dc.identifier.uri	http://resolver.sub.uni-goettingen.de/purl?ediss-11858/14361
dc.identifier.uri	http://dx.doi.org/10.53846/goediss-9581
dc.format.extent	88	de
dc.language.iso	deu	de
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/
dc.subject.ddc	610	de
dc.title	Zeitbedarf für die präklinische Ganzkörperimmobilisation bei Schwerverletzten	de
dc.title.alternative	Ein Vergleich von Spineboard und Schaufeltrage/Vakuummatratze	de
dc.type	doctoralThesis	de
dc.title.translated	Vacuum mattress or long spine board: which method of spinal stabilisation in trauma patients is more time consuming? A simulation study.	de
dc.contributor.referee	Roessler, Markus PD Dr.
dc.date.examination	2022-11-24	de
dc.description.abstracteng	Background: 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. Methods: 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. Results: 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). Conclusions: 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. 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.	de
dc.contributor.coReferee	Weiser, Lukas PD Dr.
dc.subject.eng	Vacuum mattress	de
dc.subject.eng	Spinal stabilisation	de
dc.subject.eng	Long spine board	de
dc.subject.eng	Prehospital trauma treatment	de
dc.identifier.urn	urn:nbn:de:gbv:7-ediss-14361-2
dc.affiliation.institute	Medizinische Fakultät	de
dc.subject.gokfull	Medizin (PPN619874732)	de
dc.description.embargoed	2022-12-01	de
dc.identifier.ppn	1823566146
dc.creator.birthname	Segref	de
dc.notes.confirmationsent	Confirmation sent 2022-11-24T09:15:01	de

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Human- und Zahnmedizin [2873]

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