The Clinical Skills of Emergency Medical Service (EMS) Personnel Regarding Spinal Immobilization of Trauma Victims; a Cross Sectional Study
Archives of Academic Emergency Medicine,
Vol. 9 No. 1 (2021),
1 January 2021
Introduction: Spinal immobilization is the most important measure the Emergency Medical Service (EMS) has to take when facing the victims of traumatic events, especially those with confirmed or suspected traumatic spinal cord injury (TSCI). The aim of this study was to investigate the clinical skills of EMS personnel regarding the spinal immobilization of trauma victims.
Methods: This cross-sectional study was conducted to examine the clinical skills of EMS personnel, regarding spinal immobilization of trauma victims during a 1-year period in 2019. EMS personnel were selected via convenience sampling method. Data collection tools were a demographic questionnaire and a researcher-made checklist to assess clinical skills. The face and content validity of the tool was reviewed and approved by 10 experts. Also, the overall reliability coefficient for the skills was 0.98. Data were collected by the researcher through observing the skills performed, and filling out the clinical skills checklist accordingly.
Results: The mean overall score of the clinical skills of the 120 participants regarding spinal immobilization of trauma victims in supine, prone, and sitting positions were 0.60 ± 1.44, 0.58 ± 1.42 and 0.65 ± 1.62, respectively. Most of the studied personnel had moderate clinical skills in spinal immobilization, and they had poor clinical skills required to correctly pull the trauma victims in the longitudinal axis of the body to put them on a long backboard and immobilize their torso, legs, and head using the Kendrick Extrication Device (KED).
Conclusion: The studied EMS personnel had moderate clinical skills regarding the spinal immobilization of trauma victims. It is recommended that the EMS training programs focus more on the practical aspects of clinical skills in addition to theoretical aspects.
- Advanced trauma life support care; Spinal cord injuries; Emergency medical services; Clinical competence
How to Cite
Hasanzadeh Pashang S, Zare H, Alipor A. The Efficacy of Stress Inculation Training (SIT) on Resilience, Anxiety, Depression and Stress Among Spinal Cord Injury (SCI) Patients. Pars Journal of Medical Sciences (Jahrom Medical Journal). 2012;10(3):12-20.
Oteir AO, Smith K, Jennings PA, Stoelwinder JU. The prehospital management of suspected spinal cord injury: an update. Prehosp Disaster Med. 2014;29(4):399-402.
Khazaeli K, Hoseini E, Nasir AH, Amarloui M, Ganji MK. Relationship between level of injury and quality of life in spinal cord injury (SCI) patients. Payesh. 2019;18(1):45-51.
Shank CD, Walters BC, Hadley MN. Current Topics in the Management of Acute Traumatic Spinal Cord Injury. Neurocritical care. 2019;30(2):261-71.
Dadashzadeh A, Dehghannejhad J, Shams Vahdati S, Soheili A, Sadeghi Bazarghani H. The nature of prehospital medical interventions delivered to traumatic patients in Tabriz. Journal of Urmia Nursing And Midwifery Faculty. 2017;15(3):159-67.
Ahuja CS, Wilson JR, Nori S, Kotter MR, Druschel C, Curt A, et al. Traumatic spinal cord injury. Nature reviews Disease primers. 2017;3(1):1-21.
Ten Brinke JG, Gebbink WK, Pallada L, Saltzherr TP, Hogervorst M, Goslings JC. Value of prehospital assessment of spine fracture by paramedics. European journal of trauma and emergency surgery : official publication of the European Trauma Society. 2018;44(4):551-4.
Feller R, Furin M, Reynolds C. EMS, Immobilization (Seated and Supine). StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019.
Oteir AO, Jennings PA, Smith K, Stoelwinder J. Should suspected cervical spinal cord injuries be immobilised? A systematic review protocol. Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention. 2014;20(3):e5.
Theodore N, Hadley MN, Aarabi B, Dhall SS, Gelb DE, Hurlbert RJ, et al. Prehospital cervical spinal immobilization after trauma. Neurosurgery. 2013;72(3):22-34.
bayrami r, ebrahimipour h, HASANZADEH A. Challenges in Pre hospital emergency medical service in Mashhad: A qualitative study. HOSPITAL. 2017;16(2 (61)).
Azimi M, Khankeh H, Biglaryan A, Sedghi N. Assessment of Restrictions on movement skills spinal injury patients due to traffic accidents in Tehran nurses emergency operations. Journal of Nursing Education. 2018;7(3):8-13.
Norouzinia R, Ahmadi M, Seidabadi M. Knowledge and Clinical Competence of Medical Emergencies Students in Facing Trauma. Iranian Journal of Emergency Medicine. 2016;3(2):73-7.
Shakeri k, Fallahi Khoshknab M, Khankeh H, Hosseini M, Hosseinzadeh S, Haghi Monie N. Evaluation of clinical skills of medical emergency personnel in Tehran Emergency Center confronting the trauma. Journal of Health Promotion Management. 2012;1(4):16-24.
Kumar S, Agarwal AK, Kumar A, Agrawal GG, Chaudhary S, Dwivedi V. A study of knowledge, attitude and practice of hospital consultants, resident doctors and private practitioners with regard to pre-hospital and emergency care in Lucknow. The Indian journal of surgery. 2008;70(1):14-8.
Mohseni M, Khaleghdoost Mohammadi T, Adib M, Mohtasham Amiri Z, Yosefzadeh Sh KL. Situation of pre-hospital emergency neurological care and related factors in traumatic patients. Journal of Health and Care. 2014;16(1):55-65.
Dunn TM, Dalton A, Dorfman T, Dunn WW. Are emergency medical technician–basics able to use a selective immobilization of the cervical spine protocol?: A preliminary report. Prehospital Emergency Care. 2004;8(2):207-11.
Kashani P, Manouchehrifar M, Sohrabi P. Evaluating the Knowledge and Practice of Prehospital Emergency Medical Technicians Regarding Advanced Cardiac Life Support; a Cross-sectional Study. Iranian Journal of Emergency Medicine. 2019;6(1):10.
- Abstract Viewed: 513 times
- pdf Downloaded: 304 times