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The Occipital and Sacral Pressures Experienced by Healthy Volunteers Under Spinal Immobilization: A Trial of Three Surfaces
Trinity College Dublin, Ireland.
KTH, School of Electrical Engineering (EES), Communication Networks. KTH, School of Electrical Engineering (EES), Centres, ACCESS Linnaeus Centre. (LCN)ORCID iD: 0000-0002-3912-1470
2007 (English)In: Journal of emergency nursing (JEN): official publication of the Emergency Department Nurses Association, Vol. 33, no 5, 447-50 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The development of a pressure ulcer is of great significance to the life-long rehabilitative management of the person with a spinal cord injury, and may indeed delay and repeatedly interfere with that process. That the period preceding admission to the specialized spinal injury unit is crucial with regard to pressure ulcer development is evident in the professional literature. Both anecdotal and empirical evidence indicates that a significant number of pressure ulcers occur as a result of management provided prior to admission, and that such ulcers are more likely to occur in those patients who have undergone a transfer process from a hospital distal to the specialist unit on a hard spinal board. AIM: In consideration of this and of the fact that, in Ireland, the interhospital transfer of spinal injured patients has usually involved the employment of such spinal boards to achieve immobilization, this study sought to identify whether or not the pressure experienced by individuals at two anatomical locations was dependent on the support surface employed. METHODOLOGY: Pressure under the occiput and sacrum of three healthy volunteers immobilized on three support surfaces was measured using air-filled pressure-measuring sacks. The surfaces employed were an uncovered spinal board; a spinal board with inflatable raft devise; and a full-body vacuum splint. DISCUSSION: Marked reductions in pressure were measured when using the inflatable raft and the vacuum mattress. The results of this study will provide a basis for a larger study and, through that, the formulation of recommendations for standardized practice along a national care pathway.

Place, publisher, year, edition, pages
2007. Vol. 33, no 5, 447-50 p.
National Category
Signal Processing
Research subject
Applied and Computational Mathematics
URN: urn:nbn:se:kth:diva-174167DOI: 10.1016/j.jen.2006.11.004ISI: 000249876500007PubMedID: 17884474ScopusID: 2-s2.0-34548646571OAI: diva2:858339

QC 20151002

Available from: 2015-10-01 Created: 2015-10-01 Last updated: 2015-10-02Bibliographically approved

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de Fréin, Ruairí
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