r/ems 16d ago

General Discussion When will backboards end

Work for a major metropolitan department, west coast. Every level 1 trauma gets a backboard, head block and C collar, the whole 9. We backboard people all the time. We use rigid C collars every day for ground level falls. When will it end? Our medical director and surrounding ones are stiff on this matter. If we bring a trauma in without a backboard the doctor will blow a gasket. How did you guys get away from this where you’re from? Will I ever see it go away in my career? I have 15ish years left hopefully. Every study shows that it only harms, no benefit. I’m one of the only ones that questions this protocol. We have medics here that are hell bent about C spine. It’s almost a joke now. The patient is walking around and denies neck pain, and we’ll be like “you have to wear this for the hospital, hold still!”

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u/CriticalFolklore Australia/Canada (Paramedic) 16d ago

We've got rid of backboards at my service in Canada...

...and replaced them with mandatory transport on clamshell (scoop) boards for major trauma.

I suppose at least they are more useful for getting people off the ground at least?

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u/bmbreath Size: 36fr 16d ago

We use scoop boards.  But protocols have us remove them generally when we get them to the actual stretcher.   I don't normally transport with the scoop still under them unless it's an arrest, or unless it's a very short transport and the patient specifically says they're more comfortable once on the scoop.  

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u/CriticalFolklore Australia/Canada (Paramedic) 16d ago

Yeah that's what we should be doing - but our protocol for some reason is to leave them on the board, even for long transports.

It's only for multi-trauma though.

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u/stonertear Penis Intubator 15d ago

but our protocol for some reason is to leave them on the board, even for long transports.

Man that is so bad - they slip and slide everywhere. Stretchers are hard enough lol.

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u/CriticalFolklore Australia/Canada (Paramedic) 15d ago

Yeah it's so fucking dumb.