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Application of Cervical Collars - An Analysis of Practical Skills of Professional Emergency Medical Care Providers

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Application of Cervical Collars - An Analysis of Practical Skills of Professional Emergency Medical Care Providers. / Kreinest, Michael; Goller, Sarah; Rauch, Geraldine; Frank, Christian; Gliwitzky, Bernhard; Wölfl, Christoph G; Matschke, Stefan; Münzberg, Matthias.

in: PLOS ONE, Jahrgang 10, Nr. 11, 20.11.2015, S. e0143409.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Kreinest, M, Goller, S, Rauch, G, Frank, C, Gliwitzky, B, Wölfl, CG, Matschke, S & Münzberg, M 2015, 'Application of Cervical Collars - An Analysis of Practical Skills of Professional Emergency Medical Care Providers', PLOS ONE, Jg. 10, Nr. 11, S. e0143409. https://doi.org/10.1371/journal.pone.0143409

APA

Kreinest, M., Goller, S., Rauch, G., Frank, C., Gliwitzky, B., Wölfl, C. G., Matschke, S., & Münzberg, M. (2015). Application of Cervical Collars - An Analysis of Practical Skills of Professional Emergency Medical Care Providers. PLOS ONE, 10(11), e0143409. https://doi.org/10.1371/journal.pone.0143409

Vancouver

Kreinest M, Goller S, Rauch G, Frank C, Gliwitzky B, Wölfl CG et al. Application of Cervical Collars - An Analysis of Practical Skills of Professional Emergency Medical Care Providers. PLOS ONE. 2015 Nov 20;10(11):e0143409. https://doi.org/10.1371/journal.pone.0143409

Bibtex

@article{292d84240ec54bebb84e3b558655309a,
title = "Application of Cervical Collars - An Analysis of Practical Skills of Professional Emergency Medical Care Providers",
abstract = "BACKGROUND/OBJECTIVE: The application of a cervical collar is a standard procedure in trauma patients in emergency medicine. It is often observed that cervical collars are applied incorrectly, resulting in reduced immobilization of the cervical spine. The objective of this study was to analyze the practical skills of trained professional rescue personnel concerning the application of cervical collars.MATERIAL AND METHODS: Within emergency medical conferences, n = 104 voluntary test subjects were asked to apply a cervical collar to a training doll, wherein each step that was performed received an evaluation. Furthermore, personal and occupational data of all study participants were collected using a questionnaire.RESULTS: The test subjects included professional rescue personnel (80.8%) and emergency physicians (12.5%). The average occupational experience of all study participants in pre-clinical emergency care was 11.1±8.9 years. Most study participants had already attended a certified training on trauma care (61%) and felt {"}very confident{"} in handling a cervical collar (84%). 11% applied the cervical collar to the training doll without errors. The most common error consisted of incorrect adjustment of the size of the cervical collar (66%). No association was found between the correct application of the cervical collar and the occupational group of the test subjects (trained rescue personnel vs. emergency physicians) or the participation in certified trauma courses.CONCLUSION: Despite pronounced subjective confidence regarding the application of cervical collars, this study allows the conclusion that there are general deficits in practical skills when cervical collars are applied. A critical assessment of the current training contents on the subject of trauma care must, therefore, be demanded.",
keywords = "Adult, Braces, Cervical Vertebrae, Clinical Competence, Emergency Medical Services, Emergency Medical Technicians, Female, Health Knowledge, Attitudes, Practice, Health Personnel, Humans, Male, Manikins, Middle Aged, Range of Motion, Articular, Splints, Surveys and Questionnaires, Journal Article",
author = "Michael Kreinest and Sarah Goller and Geraldine Rauch and Christian Frank and Bernhard Gliwitzky and W{\"o}lfl, {Christoph G} and Stefan Matschke and Matthias M{\"u}nzberg",
year = "2015",
month = nov,
day = "20",
doi = "10.1371/journal.pone.0143409",
language = "English",
volume = "10",
pages = "e0143409",
journal = "PLOS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "11",

}

RIS

TY - JOUR

T1 - Application of Cervical Collars - An Analysis of Practical Skills of Professional Emergency Medical Care Providers

AU - Kreinest, Michael

AU - Goller, Sarah

AU - Rauch, Geraldine

AU - Frank, Christian

AU - Gliwitzky, Bernhard

AU - Wölfl, Christoph G

AU - Matschke, Stefan

AU - Münzberg, Matthias

PY - 2015/11/20

Y1 - 2015/11/20

N2 - BACKGROUND/OBJECTIVE: The application of a cervical collar is a standard procedure in trauma patients in emergency medicine. It is often observed that cervical collars are applied incorrectly, resulting in reduced immobilization of the cervical spine. The objective of this study was to analyze the practical skills of trained professional rescue personnel concerning the application of cervical collars.MATERIAL AND METHODS: Within emergency medical conferences, n = 104 voluntary test subjects were asked to apply a cervical collar to a training doll, wherein each step that was performed received an evaluation. Furthermore, personal and occupational data of all study participants were collected using a questionnaire.RESULTS: The test subjects included professional rescue personnel (80.8%) and emergency physicians (12.5%). The average occupational experience of all study participants in pre-clinical emergency care was 11.1±8.9 years. Most study participants had already attended a certified training on trauma care (61%) and felt "very confident" in handling a cervical collar (84%). 11% applied the cervical collar to the training doll without errors. The most common error consisted of incorrect adjustment of the size of the cervical collar (66%). No association was found between the correct application of the cervical collar and the occupational group of the test subjects (trained rescue personnel vs. emergency physicians) or the participation in certified trauma courses.CONCLUSION: Despite pronounced subjective confidence regarding the application of cervical collars, this study allows the conclusion that there are general deficits in practical skills when cervical collars are applied. A critical assessment of the current training contents on the subject of trauma care must, therefore, be demanded.

AB - BACKGROUND/OBJECTIVE: The application of a cervical collar is a standard procedure in trauma patients in emergency medicine. It is often observed that cervical collars are applied incorrectly, resulting in reduced immobilization of the cervical spine. The objective of this study was to analyze the practical skills of trained professional rescue personnel concerning the application of cervical collars.MATERIAL AND METHODS: Within emergency medical conferences, n = 104 voluntary test subjects were asked to apply a cervical collar to a training doll, wherein each step that was performed received an evaluation. Furthermore, personal and occupational data of all study participants were collected using a questionnaire.RESULTS: The test subjects included professional rescue personnel (80.8%) and emergency physicians (12.5%). The average occupational experience of all study participants in pre-clinical emergency care was 11.1±8.9 years. Most study participants had already attended a certified training on trauma care (61%) and felt "very confident" in handling a cervical collar (84%). 11% applied the cervical collar to the training doll without errors. The most common error consisted of incorrect adjustment of the size of the cervical collar (66%). No association was found between the correct application of the cervical collar and the occupational group of the test subjects (trained rescue personnel vs. emergency physicians) or the participation in certified trauma courses.CONCLUSION: Despite pronounced subjective confidence regarding the application of cervical collars, this study allows the conclusion that there are general deficits in practical skills when cervical collars are applied. A critical assessment of the current training contents on the subject of trauma care must, therefore, be demanded.

KW - Adult

KW - Braces

KW - Cervical Vertebrae

KW - Clinical Competence

KW - Emergency Medical Services

KW - Emergency Medical Technicians

KW - Female

KW - Health Knowledge, Attitudes, Practice

KW - Health Personnel

KW - Humans

KW - Male

KW - Manikins

KW - Middle Aged

KW - Range of Motion, Articular

KW - Splints

KW - Surveys and Questionnaires

KW - Journal Article

U2 - 10.1371/journal.pone.0143409

DO - 10.1371/journal.pone.0143409

M3 - SCORING: Journal article

C2 - 26587650

VL - 10

SP - e0143409

JO - PLOS ONE

JF - PLOS ONE

SN - 1932-6203

IS - 11

ER -