Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Devices and clinical criteria of immobilization |
|---|---|
| Name | Ascione Marcello |
| Supervisor(s) | Minozzi Cinzia |
| Academic Year | 2015/16 |
| Thesis type | Non research thesis |
Abstract
Nowadays the spinal traumas are a health problem very important, inasmuch they can lead to serious potential damage such as spinal cord injury with permanent neurological outcomes. Unfortunately, there are no "cure" for this type of injury currently, but can speak only of secondary injury prevention through proper management of the aid during the Golden Hour, in that on patient outcomes can have a major influence avoiding the possible risks so-called "transport pathology." Spinal immobilization is applied as a standard of cure routinely for trauma patients, although this practice is supported only by evidence of class III, not being possible to carry out clinical randomized case control trials (RCTs); on top of that there is also a good part of evidence that highlight some of the possible risks related to the use of restraining devices used currently. Given the importance of this procedure in our clinical practice, I decided to do in this script a review of literature, to identify potential risks that these devices may involve. On the basis of this I have reported as some studies, begin to propose new devices, in order to limit possible risks improving management and outcomes of patient traumatized. Finally about that was said, it arose a reflection: why can’t you use the clinical criteria utilized (for the protocol) in diagnostic testing (NEXUS, CCR) as criteria to the immobilization? Whereas, if a patient does not need of diagnostic investigations, would not require even of immobilization, therefore this would demonstrates such as it is possible to use them also as criteria of immobilization on setting of the event, with the purpose of limiting unnecessary immobilization and possible risks that it entails. Considering that as long as you will not be RCTs that practice will continue to be used.