Structural variation

The spinal board or backboard is a patient handling device used primarily in pre-hospital trauma care designed to provide rigid support during movement of a person with suspected spinal or limb injuries.

History

The concept of immobilizing the spine dates back to ancient times, with Hippocrates describing the use of a ladder with slats or a plank to secure fractures and dislocations of the spine and long bones.

Design

Modern spinal boards are typically flat and rigid, made of plastic or other materials that can be easily cleaned and decontaminated. They are equipped with handholds and straps to secure the patient and allow for safe lifting and transport.

Use

Spinal boards are used in the pre-hospital setting by emergency medical services (EMS) providers. They are also used in hospital and sports settings for suspected spinal injuries. The patient is typically immobilized on the board with straps and cervical (neck) collars until a full medical evaluation can be performed at a hospital.

Criticism

While spinal boards are a key tool in trauma care, their use is not without controversy. Some studies suggest that prolonged immobilization on backboards can lead to increased patient discomfort, pressure sores, and even potential respiratory issues.

See also

• Emergency medical services
• Spinal cord injury
• Cervical collar

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