Thread: AUSTIN: Moto First Aid Training ?
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Old 01-22-2018, 08:38 PM   #16
kurt's Avatar
Join Date: Nov 2003
Location: Lago Vista, Texas
Posts: 19,431
Re: Moto First Aid Training ?

Originally Posted by FCBH View Post

Perhaps the American Red Cross First Aid comprehensive training might fit the ticket. They deal extensively with broken bones, lacerations and other forms of bodily damage that might similar to motorcycle accident.

Several years ago, I came upon a horrific sport-bike crash on Highway 1431. The young rider was in a helmet immobile by the side of the road. It would have been tempting to try to remove the helmet myself, but in fact it can be dangerous since it can aggravate spinal damage unless properly done by a medic or first responder. Interestingly, my Shorai helmet has a special emergency tab on the side that allows first responders to remove just the shell and not the inner lining in case the neck or spine is thought to be involved.

The old adage about not removing helmets and the reasons why are quickly dying. We are probably a couple of years from removing C-Collars and long boards from ambulances for the same reasons.

While the data to support spinal immobilization are weak, there is an increasing amount of evidence noting potential risks and morbidity associated with spinal immobilization. Spinal immobilization has been used to prevent aggravating spinal cord injury. However, in a controversial study done by Hauswald et al, non-immobilized patients in Malaysia had better neurological outcomes than similar injury-matched patients who were immobilized in New Mexico (OR 2.03) [7]. While these studies were conducted in vastly different countries, the overall notion that secondary injury to the cord due to transport is rare because the forces exerted during transport are weak compared to that required to injure the spinal cord may still hold true. Other studies have shown increased mortality (OR 2.06-2.77) in patients with penetrating trauma and spinal immobilization, most likely because it takes time (approximately five minutes, at best [8]) to place a patient into full immobilization, which delays resuscitation and getting the patient into an operating room
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