Suspected Spinal Injury Blog

Suspected Spinal injury - Welcome

9/24/2015

Welcome to the suspected spinal injury update blog. Changing 40+ years of practice will not be easy for everyone. This forum is intended to provide answers to your questions, maintain consistency in our message and best of all - provide some tools to help make this update as simple as possible. We will be adding toolkits for educators, a full production video demonstration, skills demonstration suggestions and presentations when needed.

These first two files are the updated 2015 T-8 protocol and the SEMAC position on the practice update supporting these changes.

nys_spinal_protocol_t-8_2015.pdf
File Size:	206 kb
File Type:	pdf

Download File

semac_statement_on_prehospital_spinal_immobilization_final.pdf
File Size:	86 kb
File Type:	pdf

Download File

You will still need to take the test from NYS EMS.

Below are documents from from NYS EMS regarding FAQ's from their webinar. On the bottom pages you will find links for both the recorded webinar and taking the test.

faq-2_letter_2015_nys_bls_protocol_update-3.pdf
File Size:	177 kb
File Type:	pdf

Download File

nys_protocol_update_webinar_7-30-15.pdf
File Size:	1192 kb
File Type:	pdf

Download File

10 Comments

Dr. Joe Bart, DO

Dr. Joseph Bart is currently the Director of EMS Operations for UB|MD Emergency Medical Services Division. He is Board Certified Emergency Physician at the Erie County Medical Center in Buffalo, New York and former paramedic. Prior to completing work as an emergency physician, Dr. Bart attained Board Certification as an Athletic Trainer at Canisius College, earning a degree in Sports Medicine and Athletic Training. He earned a Doctorate in Osteopathic Medicine from the Lake Erie College of Osteopathic Medicine in Bradenton, Florida and returned to Buffalo as an Emergency Medicine Resident. Immediately following residency, Dr. Bart drew from his experience as a paramedic and emergency physician, completing an EMS Fellowship through the SUNY at Buffalo Department of Emergency Medicine and is currently the associate EMS Fellowship director.

Syd Henry

9/25/2015 08:01:03 am

Our agency's response area is literally five minutes from a Level 1 Trauma Center and surrounded by many high speed highways with accompanying serious MVCs.

Does the new Spinal Restriction Protocol strictly prohibit any transport on a long backboard regardless of the severity of the injury?

Many thanks...

Dr. Bart

9/25/2015 03:37:25 pm

Syd, I think this is a great questions since we are often being asked about if there is a certain type of patient that either always or never belongs on the back board.

There is no prohibition of the long spine board. If a patient has a major trauma (see NYS BLS Major trauma criteria) then they get a cervical collar. If they meet criteria in section two of the protocol they get a cervical collar. If they do not meet any of those criteria, you do not need to place a cervical collar. For the backboard: we unchained the mandatory use of the backboard for all trauma patients. This means if you do not feel it helps you extricate the patient and get them to your stretcher......you do not NEED it. You are never prohibited from using it and furthermore if you have used it to extricate a sick patient and then staying on scene is taking more time to get them off the backboard, I do not think anyone would argue with your decision to transport that sick patient.

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12/19/2017 10:01:59 pm

Everyone should be wary of their health. As humans, we are vulnerable to the day-to-day situation of society. The effects of living in a modern, fast-paced world affected us in various ways. The parts of our body struggle to juggle with our lifestyle. This part of our body is the spinal cord. An example would be at the office, sitting for about 8 hours/day non-stop. It affects our posture in the long-run, making us prone to spinal injuries.

Donna Kahm

9/28/2015 11:59:35 am

This is a test of the blog

Todd

10/29/2015 12:12:28 pm

Great Job Joe!

Rob

11/14/2015 02:46:17 am

What is the role of head blocks with the new protocol? If it's decided to transport a patient on a backboard do head blocks have to be used? Can they be used? Or can they not be used?

Daniel

12/24/2015 04:58:49 am

If you have positive neurological deficit post traumatic accident. Example paralysis of lower extremities. I am still confused on whether you should or should not still immobilize. I see the rule outs, low impact, transitions but is there medical legal support to NOT immobilize if you have POSITIVE deficit.

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8/16/2016 01:07:44 am

You have a good point here!I totally agree with what you have said!!Thanks for sharing your views...hope more people will read this article!!!

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6/28/2017 06:56:06 am

Spinal injuries are just totally the worst. There is a reason why people refer to important things as the backbone, just refers to its importance. I pray that no one has to go through such problems.

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7/1/2017 03:35:35 am

Great post, just the one I was looking for and hope that I will get answer to my questions from this post. Thank you for sharing it with us

Suspected Spinal injury - Welcome

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Dr. Joe Bart, DO

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