TY  - JOUR
PY  - 2018//
TI  - Cut and rip and cut alone techniques versus usual practice in the removal of trauma patient clothing
JO  - Canadian journal of emergency medicine
A1  - Sibley, Aaron K.
A1  - Jain, Trevor N.
A1  - Nicholson, Brent
A1  - Atkinson, Paul
SP  - 600
EP  - 605
VL  - 20
IS  - 4
N2  - 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>
LA  - en
SN  - 1481-8035
UR  - http://dx.doi.org/10.1017/cem.2017.346
ID  - ref1
ER  -