Pons Claramonte Manuel, Pardo Ríos Manuel, Nicolás Carrillo Ana, Nieto Navarro Alberto, Baztán Ferreros Itziar, Nieto Caballero Sergio
New Technologies in Health, UCAM Universidad Católica de Murcia, Spain.
Health Emergency Services from Valencian, Spain.
Heliyon. 2024 Oct 9;10(20):e39045. doi: 10.1016/j.heliyon.2024.e39045. eCollection 2024 Oct 30.
To compare spinal misalignment and execution time of 3 rescue maneuvers for casualties in traffic accidents.
Biomechanical analysis using inertial sensors to measure the range of spinal misalignment and execution time of 3 maneuvers: 1) standard manual rescue (SMR); 2) rapid extrication device (RED); 3) extrication device (ED). The sample consisted of 117 rescue professionals (firefighters) from 14 Autonomous Communities in Spain. The total range of motion and the execution time of maneuvers were compared using ANOVA.
The highest range of cervical flexion-extension movement was recorded with RED (30° ± 9°). There were no statistically significant differences between SMR (21° ± 9°) and ED (21° ± 10°). In dorsal flexion-extension, the highest range of movement was with RED (36° ± 10°), followed by ED (30° ± 7°), with the lowest found for SMR (26° ± 11°). RED presented the least restriction of cervical (p < 0.001) and dorsal movement (p < 0.001). The quickest maneuver was SMR (average of 55″), followed by RED (average of 92″), with a considerable difference using ED (average of 225″) (p < 0.001).
The standard manual rescue maneuver (SMR) generated the smallest range of spinal movement and also required the shortest execution time.
比较交通事故中对伤员进行3种救援操作时脊柱的错位情况及操作执行时间。
采用惯性传感器进行生物力学分析，以测量3种操作的脊柱错位范围及执行时间：1）标准徒手救援（SMR）；2）快速解救装置（RED）；3）解救装置（ED）。样本由来自西班牙14个自治区的117名救援专业人员（消防员）组成。使用方差分析比较各操作的总运动范围和执行时间。
RED记录的颈椎屈伸运动范围最大（30°±9°）。SMR（21°±9°）和ED（21°±10°）之间无统计学显著差异。在脊柱后伸-前屈运动中，运动范围最大的是RED（36°±10°），其次是ED（30°±7°），SMR最小（26°±11°）。RED对颈椎（p<0.001）和脊柱后伸运动（p<0.001）的限制最小。最快的操作是SMR（平均55秒），其次是RED（平均92秒），ED则明显较慢（平均225秒）（p<0.001）。
标准徒手救援操作（SMR）产生的脊柱运动范围最小，且执行时间最短。
