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Prehospital Extrication Techniques: Neurological Outcomes Associated with the Rapid Extrication Method and the Kendrick Extrication Device.

Abstract Most emergency medical service personnel rely on one of two techniques to extricate motor vehicle crash victims; the Rapid Extrication Maneuver (REM) or the Kendrick Extrication Device (KED). The purpose of this study was to compare pre- and postextrication neurological outcomes between these two techniques. A retrospective review was conducted of all adult patients with a vertebral column injury resulting from motor vehicle collision and admitted to a Level I trauma center between January 1, 2003 and December 31, 2010. Standardized pre- and postextrication neurological examinations were reviewed for all patients. More than half of patients (N = 81) were extricated using the KED (53.1%, n = 43) and 46.9 per cent (n = 38) were extricated with the REM. Except for the thoracic Abbreviated Injury Score, no differences between groups emerged related to the Glasgow Coma Scale score, Injury Severity Score or Abbreviated Injury Score. There were no pre- and postextrication changes for motor to all extremities and sensation to all extremities using either method. The results of this study suggest that the REM and the KED are equivalent in protecting the patient from neurologic injury after motor vehicle collision.
PMID
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Rapid Extrication versus the Kendrick Extrication Device (KED): Comparison of Techniques Used After Motor Vehicle Collisions.

Authors

Mayor MeshTerms

Accidents, Traffic

Keywords
Journal Title the american surgeon
Publication Year Start




PMID- 29580354
OWN - NLM
STAT- MEDLINE
DCOM- 20180404
LR  - 20180404
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 84
IP  - 2
DP  - 2018 Feb 1
TI  - Prehospital Extrication Techniques: Neurological Outcomes Associated with the
      Rapid Extrication Method and the Kendrick Extrication Device.
PG  - 248-253
AB  - Most emergency medical service personnel rely on one of two techniques to
      extricate motor vehicle crash victims; the Rapid Extrication Maneuver (REM) or
      the Kendrick Extrication Device (KED). The purpose of this study was to compare
      pre- and postextrication neurological outcomes between these two techniques. A
      retrospective review was conducted of all adult patients with a vertebral column 
      injury resulting from motor vehicle collision and admitted to a Level I trauma
      center between January 1, 2003 and December 31, 2010. Standardized pre- and
      postextrication neurological examinations were reviewed for all patients. More
      than half of patients (N = 81) were extricated using the KED (53.1%, n = 43) and 
      46.9 per cent (n = 38) were extricated with the REM. Except for the thoracic
      Abbreviated Injury Score, no differences between groups emerged related to the
      Glasgow Coma Scale score, Injury Severity Score or Abbreviated Injury Score.
      There were no pre- and postextrication changes for motor to all extremities and
      sensation to all extremities using either method. The results of this study
      suggest that the REM and the KED are equivalent in protecting the patient from
      neurologic injury after motor vehicle collision.
FAU - Misasi, Adam
AU  - Misasi A
FAU - Ward, Jeanette G
AU  - Ward JG
FAU - Dong, Fanglong
AU  - Dong F
FAU - Ablah, Elizabeth
AU  - Ablah E
FAU - Maurer, Chad
AU  - Maurer C
FAU - Haan, James M
AU  - Haan JM
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - *Accidents, Traffic
MH  - Adult
MH  - Aged
MH  - Emergency Medical Services/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Restraint, Physical/instrumentation/*methods
MH  - Retrospective Studies
MH  - Spinal Cord Injuries/diagnosis/etiology/*prevention & control
MH  - Spinal Injuries/diagnosis/etiology/*therapy
MH  - Trauma Severity Indices
MH  - Treatment Outcome
EDAT- 2018/03/28 06:00
MHDA- 2018/04/05 06:00
CRDT- 2018/03/28 06:00
PHST- 2018/03/28 06:00 [entrez]
PHST- 2018/03/28 06:00 [pubmed]
PHST- 2018/04/05 06:00 [medline]
PST - ppublish
SO  - Am Surg. 2018 Feb 1;84(2):248-253.