First, comparing a spinal immobilization device to an EMT with a bondage fetish is sophomoric and down right losses any credibility you might think you had prior to trying to be a funny guy. Second, if a mobilization device stops just one person from paralysis, let’s say your wife or child, would you spend the time to put it on CORRECTLY, I say correctly, because, as your open letter to no one shows, you don’t even know the appropriate time to apply it. A patient with multi system trauma is not a candidate for the device. Rapid extrication is. Or in your case, just let them stand up and walk out while you hold their hand. I guess you and your argument may be better received if you actually knew the protocol for application. I’m not saying I agree that the device should be continued in the field, but I’m also not saying it should be abandoned. We, at least some of us, are more concerned about patient care rather then how many books were sold about your fetish of bondage. Get over it. I think that the device is over used. But I also feel that actually knowing when to use it, and using good judgement, it is just another tool that can be used in a techs bag of tricks. I’ve used the device rarely as a precautionary piece of equipment, and more as an assist to extricate a patient when we have had to pull them out of the rear window after the vehicle has been cut for us. I’ve also used it in quick or fast water rescue where the device is placed on the patient and hoisted from the flooding rapids. Third, try not to disrespect techs living and working in the backwoods. I would trust some of their judgement over the “big city” techs judgement, as the back woods guys and gals are going to be doing more treatment modalities due to extended transport times. And I’d accept their judgement over a know it all, like you, who has decided that any tool we have in Ems is nothing more then a joke. I’ve been involved in every aspect of ems, from met to medic to instructor to cic. I’ve worked big city with the worst jobs possible and also backwoods ems. I’ve been to scenes where the need has been for 150-200 backboards. Be damned if the “bondage” device was used as a replacement, or stand in for a backboard. You see, as much as the backwoods guys say moi, I’m pretty sure that surviving a plane crash will fit the criterion for some sort of spinal immobilization. How about you? Rather walk them off the plane that’s split in three pieces? Different equipment comes and goes over time. Usually, those wonderful statistics that you cite have a tendency to lean one way. And it’s usually the way the writer wants the stats to be. What’s more important then wanting to be a clown, perhaps actually learning about the device, when to and not to use it, and the proper way to apply it might be a good starting point for regaining any credibility you might have had prior to reading your incredibly crappy article! The best tool an emt or medic has is knowledge and ingenuity. You seem to have neither!
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