Connecticut Limits Long Boards

On February 21, 2013 I wrote the post In Praise of CEMSMAC, to celebrate the courage of Connecticut’s top EMS doctors to back the draft document on spinal boards proposed by the National Association of EMS Physicians (NAEMSP), and to use that document as a guideline to developing statewide guidelines limiting the use of long boards for spinal immobilization instead of backing the final watered down version of the NAEMSP/American College of Surgeons Joint Position Paper.

This week, after a year and a half of meetings and review by various state EMS committees, the state Department of Public Health released the final document that both enables BLS practioners to utilize selective spinal immobilization and radically changes the treatment for those who merit spinal restriction. The new document effectively eliminates the long board board for anything but assistance with extrication and movement.

Check it out here:

Connecticut Spinal Motion Restriction Guideline

1 Comment

  • Vince D says:

    Beautiful! Congrats!!! I think this is the perfect level of aggressiveness and I can’t imagine any regions advocating less intervention for a really long time. In fact, I don’t think I’d want anyone being more aggressive than this with SSI for a long time.

    The only line that had me stroking my chin was: “Elevated the back of the stretcher only if necessary to support respiratory function, patient compliance or other significant treatment priority.” I think allowing a maximum of 30 degrees, especially in instances of isolated cervical spine symptoms, would be perfectly safe and make a huge impact in the patient’s comfort and experience. Of course I say this working in a state (NY) that doesn’t have anything close to this level of awesomeness…

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