Ali TURKELİ, Onur POLAT, Sinan GENÇ, Bilge YILMAZ, Evren YAŞAR, Müge GÜNALP, Ahmet Burak OĞUZ, Aydın ÖZTOPRAK

Destekli Travma Tahtası: Fizyomekanik Bir Çalışma

Giriş: Travma tahtası kullanımı major travma olgularının stabilizasyonu için geniş ölçüde kabul edilmiş bir uygulamadır. Travma tahtası kullanımına bağlı oluşan rahatsızlık hissi ve bası ağrısı sık karşılaşılan komplikasyonlardandır. Bu çalışmamızdaki amacımız travma tahtası kullanımına bağlı oluşan rahatsızlık hissi ve bası ağrısının azaltılmasıdır.

Anahtar Kelimeler:

sırt tahtası, ağrı, basınç, transport, travma

Supported Design Trauma Board: A Physiomechanical Study

Introduction: The use of backboard is a widely-accepted practice for the stabilization of major trauma cases. Discomfort and pressure pain due to the use of backboard are common complications. In this study, we aimed to reduce the discomfort and pressure pain due to the use of backboard.Materials and methods: The study was carried out with 20 healthy volunteers. In the first stage, the volunteers were placed in the supine position for 5 minutes on the standard backboard(STB) and on the supported backboard(SUB). The pressures in the occipital, scapular, and sacral regions were measured while lying on an STB and an SUB. In the second stage, the volunteers were placed in the supine position on an STB or an SUB as two episodes of 60 minutes. Visual Analog Scale(VAS) was used for evaluation of the pain at 10,15,30,45 and 60th minutes. Results: When the VAS scores while lying on an STB and an SUB were compared in the volunteers, general pain and pain in the occipital, scapular, and sacral regions were found to be statistically significantly decreased at all minutes while lying on an SUB. When the pressures while lying on an STB and an SUB were compared in the volunteers, there was no statistically significant difference between the areas exposed to the pressure above the capillary filling pressure in the occipital and scapular regions. However, as a positive result, the area exposed to the pressure below the capillary filling pressure in the sacral region while lying on an SUB was found to be high at a statistically significant level. Conclusion:Although it is needed to be slightly improved in terms of the pressure due to lengthened transport time and lengthened waiting time on a backboard, the SUB, which we used to reduce pressure pain, was demonstrated to provide significant benefits.

Keywords:

Backboard, pain, pressure, transport, trauma,

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