Three Instructional Interventions for Prehospital Cervical Spinal Immobilization by Laypeople

Summary

It is not known if bystanders equipped with point-of-care (POC) instruction are as effective as bystanders with in-person training for c-spine immobilization. Therefore, POC instructional interventions were developed during this study in response to the scalability challenges associated with in-person training to measure the comparative effectiveness and skill retention of POC instructions vs in-person training using a randomized clinical trial design.

Conditions

• Cervical Vertebra Injury
• Cervical Vertebra Fracture

Interventions

BEHAVIORAL

Audio kit

MP3 audio files for each of 6 steps of c-collar application (totaling 1 minute, 19 seconds) and instructional flashcard with seven pictures corresponding to each of the 6 steps of c-collar application

BEHAVIORAL

Instructional flashcard (version 1)

Single page with 7 pictures corresponding to each of the 6 steps of cervical collar (c-collar) application.

BEHAVIORAL

In-person training

10 minute of an LFR spinal immobilization course (extracted from the current LFR Level 1 trauma course).

BEHAVIORAL

Instructional flashcard (version 2)

Single page with 7 pictures corresponding to each of the 6 steps of cervical collar (c-collar) application edited for clarity based on initial pilot feedback.

Sponsors & Collaborators

• Washington University School of Medicine

  collaborator OTHER

• LFR International

  collaborator UNKNOWN

• University of Michigan

  lead OTHER

Principal Investigators

• Patricia Widder · Washington University in St. Louis - McKelvey School of Engineering

• Peter Delaney · University of Michigan

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Model

FACTORIAL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2022-02-07

Primary Completion

2022-04-29

Completion

2022-04-29

Countries

• United States

Study Locations