Factors Associated Prehospital Trauma Patients Transferred By EMS (FR/BLS) Without Spinal Motion Restriction(SMR)


  • Fasai Rattanaburee
  • Phummarin Saelim
  • Jutarat Jorarat


Spinal motion restriction, Spinal motion restriction protocol, EMS personnel, Prehospital BLS



Background: Spinal motion restriction (SMR) plays a major role in spinal protection toprevent secondary injury during prehospital transportation

Objectives: To determine the factors associated with improper spinal motion restriction in trauma patients who transferred by emergency medical services (EMR/EMT).

Methods A prospective analytical study from September to November 2019.Adult trauma patients who were transferred by EMS (EMR/EMT) to the ED of Hatyai hospital, Songkla province was studied. Assessment of factors with questionnaire to EMS personnel by triage nurse or emergency resident and medicalrecord.

Results: Of 428 patients were transferred to the ED by local basic EMS. Only 25% were received SMR properly and 70% were injured by traffic accidents. Patients were triaged into ESI level 3-5 85.5% and these groups of patient significantly weren’t received the SMR properly compare to those in level 1-2 (OR 3.75 95% CI 2.15, 6.56 P<0.001)

Conclusions: The most three causes of improper SMR were patient’s factors, EMS’s protocol and personnel efficiently and mechanisms of injury.

Keywords Spinal motion restriction, Spinal motion restriction protocol, EMS personnel, Prehospital BLS


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