@article{ref1,
title="Cut and rip and cut alone techniques versus usual practice in the removal of trauma patient clothing",
journal="Canadian journal of emergency medicine",
year="2018",
author="Sibley, Aaron K. and Jain, Trevor N. and Nicholson, Brent and Atkinson, Paul",
volume="20",
number="4",
pages="600-605",
abstract="Introduction Rapid exposure of a trauma patient is an essential component of the primary survey. No gold standard exists regarding the best technique to remove clothing from a trauma patient. The purpose of this study is to compare two techniques of clothing removal versus usual practice using standard trauma shears. <br><br>METHODS: Advanced Care Paramedic (ACP) students were randomized to either the Cut and Rip (CAR) or Cut Alone (CAL) techniques to remove clothing from a standardized trauma mannequin. Practicing paramedics were recruited to remove clothing from the mannequin using Usual Practice (UP). Total time and time for removal of individual pieces of clothing was recorded. <br><br>RESULTS: Twenty-four participants (8 per group) were recruited to participate. The student groups (CAR, CAL) were similar in mean age (29, 27), years of practice (1 student >5 years) and male gender (63, 43%). The UP group was older (mean 34), more experienced (63% practice >5 years), and had a higher level of training (63% ACP) but a similar percentage of males (63%). Removal time was significantly less in the CAR group compared to the CAL group (mean 104 seconds, 95% CI 88-120 vs. mean 136 seconds, 95% CI 119-154, p=0.02). Removal times in the UP group were not significantly different from the other groups (mean 124 seconds, 95% CI 108-140, p>0.05). <br><br>CONCLUSION: The CAR technique is faster than both CAL and UP groups to remove clothing from a standard trauma mannequin.<p /> <p>Language: en</p>",
language="en",
issn="1481-8035",
doi="10.1017/cem.2017.346",
url="http://dx.doi.org/10.1017/cem.2017.346"
}