NEANN LONG SPINE BOARD

Transcription

1 NEANN LONG SPINE BOARD INFORMATION BOOKLET

2 2 The following booklet is an information guide for the NEANN LSB (Long Spine Board). This Board is the development of user feedback over a 10 year period following in-field Ambulance use and extensive Ambulance training. INDEX 3 Materials Curved Shape 4 Ends Flush With Ground Wide Base For Stability Length 5 Carry Handles Speed Clips And Straps 6 Attachment Points Shoulder Attachment Points 7 Labelling X-Ray, CT and MRI Cleaning 8 Securing To A Stretcher Ambulance Storage 9 Education & Training Specifications 10 Bibliography 11 NEANN Contact Details 12 NEANN LSB Advertisement

3 3 MATERIALS The NEANN LSB is made with a specialised inner wooden panel, and an infusion molded fiberglass construction, coated with multiple layers of jelcoat to give it significant strength, greater surface protection, and minimal flexion in comparison to other Boards on the market. Infusion molded fibreglass construction CURVED SHAPE The NEANN LSB provides a significantly improved curvature over other Boards on the market to improve comfort, reduce pressure points, and increase security for the patients 1-8 : NEANNs curved LSB provides 25 curvature which is similar to the Scoop Stretcher (24 ) for improved comfort 4. Flat boards have increased pain 1-3 compared to a curved devices 4-5. Curve Boards reduce pressure area compliucations by spreading patient contact points as compared to a flat Board 6-7. Curved Boards provide greater side support during extrication and carrying compared to flat Boards, giving the patient a greater sense of security. Curved Boards provides improved access to handles. Curved Boards allow for a thinner side which eases the application when compared to flat Boards, being much thicker and requiring the patient to be rolled over a thicker edge. Improved 25 curvature

4 4 ENDS FLUSH WITH GROUND The NEANN LSB ends are flush with the ground, which through training programs, has been shown to improve the application and removal of the Board in a range of situations taught to Ambulance staff 8 : Flush at either end to improve application and removal WIDE BASE FOR STABILITY To provide a stable platform for the patient to lay on, the NEANN LSB provides a wide 20 cm base on the underneath of the Board. This prevents accidental tilting when the patient moves. Wide base for improved stability LENGTH The improved length of the NEANN LSB, combined with the carefully positioned shoulder positioning points means the NEANN LSB caters for longer patients than other curved Boards on the market. This combination resolves leg overhang for patients up to 1800 mm in height, raised as a major Ambulance OH&S issue when lifting other branded curved Boards. A sports version is also available for sporting groups requiring a longer board. Increased length & carefully placed shoulder positioning reduces foot overhang

5 5 CARRY HANDLES A total of 16 hand holds have been provided on the NEANN LSB for supporting the Board during extractions, and for carrying the Board (seven down each side & 1 at each end). 16 handholds The side carry handles at each end have been placed as close to the ends as Board by two Officer crews. To improve handle comfort, shaping and additional jelcoating has been added, whilst still maintaining a thin side for improved application. Lifting handles close to ends for improved ergonomic lifting SPEED-CLIPS & STRAPS The Speed-Clip Strapping System has been chosen as the primary patient securing system due to it s rapid application 9-11, taking under three minutes to fully secure the patient to the Board. The new Neann Speed-Clip buckles provide an improved tumbled poly-dipped clip that removes any sharp edges. An increased concave shape also allows for easier attachment and release of the buckles. Speed Clip Strap Set Blue Ankle Strap x 1 Red Femur Strap x 1 Yellow Torso / Pelvic Straps x 5 New improved buckle manufacturing and shape. New design for easier attachment and removal.

6 6 ATTACHMENT POINTS A total of 22 speed-clip buckle attachment points have been provided on the NEANN LSB, with the majority of these being where they are most needed (shoulders to lower legs). As the attachment points receive significant usage over the life of the Board, the NEANN LSB provides a 10 mm thick attachment with minimal distance for improved durability and strength. 22 thick attachment point for excellent durabilty SHOULDER ATTACHMENT POINTS To prevent buckles digging into the patient shoulders, NEANN introduced the side-on shoulder attachment. By making both holes the same large size, buckles can be placed either way to cope with changing strapping needs. The shoulder attachment point is also essential for correct positioning on the NEANN LSB. To assist this, the Board is labeled SHOULDERS. SHOULDER label to ensure correct position of patient on the Board Side positioned pins to prevent buckles digging into the shoulders

7 7 LABELLING The majority of applications and removal procedures of the Board require the patient to be slid along the Board 8. Therefore for the best use of the Board, the Board requires a patient contact surface that remains smooth and free of any stickers that may interfere with sliding, and therefore potentially cause OH&S safety issues. NEANN jelcoats all labels into the Board for this very reason. Jelcoating further prevents wear and tear of essential labels that would otherwise disappear, be destroyed, or gather dirt & blood making cleaning more difficult. Owner labels are also jelcoated into the Board to make theft of equipment much more difficult. Maximum Load & Feet labels Head & Shoulder position labels All Labelling jelcoated into Board to prevent wear & tear and to prevent labels interfering with slide ability of Board Under no circumstances should stickers be placed on the upper surface of any NEANN LSB. X-RAY, CT AND MRI USAGE The NEANN LSB s strength is in it s design and manufacturing process. It uses no metal or other substances that will interfere with x-ray, CT or prohibit its use in an MRI. CLEANING The NEANN LSB provides a smooth cleaning surface with no stickers, thus allowing easy cleaning of the Board to meet the Australian standards for Laundry Practice (AS ). The Speed Clip Straps also meet the Australian standards for Laundry Practice (AS ). The purchasing organisation should follow current approved cleaning standards.

8 8 SECURING TO A STRETCHER Securing to a combination bed / stretcher Due to the handle design and manufacturing process, the NEANN LSB can easily be secured to the Ambulance Stretcher for safety during transport. The high 25 curvature of the side further eases the application of the seatbelts through the Board s hand holds. Seatbelt slides through handles for securing AMBULANCE STORAGE The NEANN LSB currently stores in a range of Ambulance vehicles found across Australia. Mercedes storage of the NEANN LSB For video of loading/unloading, go to /lsbload.htm. GMC & Ford F-350 Storage of the NEANN LSB

9 9 EDUCATION AND TRAINING The NEANN LSB comes with a training CD containing the following information: Using the Long Spine Board Training Manual Vehicle Extraction Techniques Training Manual A Photographic Guide To Prehospital Spinal Care Training Manual Long Spine Board Application Videos The design of the NEANN LSB is the next generation in curve Board design developed from feedback of Ambulance Officers over a 10 year period of using the Blue LSB. SPECIFICATIONS Length Width.. Height. Thickness at edge... Base width. Weight Safe Working Load.. Angle Curvature... No Of Hand Holds... No Of Speed Clip Attachments.. Speed Clip Attachment thickness mm 405 mm 70 mm 8 mm 200 mm 8 kg 160 kg 25 degrees mm

10 10 BIBLIOGRAPHY 1. Cross DA, Baskerville J. Prehosp Emerg Care 2001 Jul-Sep;5(3):270-4 Comparison of perceived pain with different immobilization techniques. 2. Chan D, Goldberg RM, Mason J, Chan L. J Emerg Med 1996 May-Jun;14(3):293-8 Backboard versus mattress splint immobilization: a comparison of symptoms generated. 3. Chan D, Goldberg R, Tascone A, Harmon S, Chan L Ann Emerg Med 1994 Jan;23(1):48-51 The effect of spinal immobilization on healthy volunteers. 4. Krell JM, McCoy MS, Sparto PJ, Fisher GL, Stoy WA Prehosp Emerg Care Jan-Mar;10(1): Comparison of the Ferno Scoop Stretcher with the long backboard for spinal immobilization. 5. Hann Response Vol Long Spine Board: Does it cause discomfort 6. Hauswald M, Hsu M, Stockoff C. Prehosp Emerg Care 2000 Jul-Sep;4(3):250-2 Maximizing comfort and minimizing ischemia: a comparison of four methods of spinal immobilization. 7. Cordell WH, Hollingsworth JC, Olinger ML, Stroman SJ, Nelson DR. Ann Emerg Med 1995 Jul;26(1):31-6 Pain and tissue-interface pressures during spine-board immobilization. 8. Hann /psc.pdf A photographic Guide To Prehospital Spinal Care Edition 5 9. Cowley RA.. Clin Med.1976; 83:16-2 The resuscitation and stabilization of major multiple trauma patients in a trauma center environment 10. Cowley RA: Md State Med J. 1975;24 : A total emergency medical system for the state of Maryland. 11. Cowley RA: J Med Soc N Jersey. 1977;11 : Trauma center: a concept for the delivery of critical care.

11 11 For further information, please contact RAPP Australia Pty Ltd 151 Patullos Rd Lara Victoria 3212 Phone: (03) Fax: (03) Web Page: Additional information on the NEANN Long Spine Board is available at: /lsbtraining.htm

12 NEANN 12 The Neann LSB (Long Spine Board) is the most advanced designed extrication Board on the market, offering many features including: Improved curve for: greater patient comfort greater side support in extrications greater access to hand grips Longer length for taller patients New shoulder attachment points for improved immobilisation End handles to assist in extrications Extremely thin for easier application Fibreglass design for easy cleaning No inserts to interfere with patient sliding No metal allows x-ray & CT compatibility New design improves safety when carrying Vehicle Extraction Manual download at /vet.htm Prehospital Spinal Manual download at /psc.htm For further information, please contact: RAPP Australia Pty Ltd Designers And Manufacturers Of Emergency Equipment Office: (03) Web: /lsbtraining.htm