Sandwich technique (rescue technique)

In the rescue service, the sandwich technique is a rescue technique that is used to rescue prone patients with spinal injuries . The aim is not to move the spinal injured patient during the rescue in order to avoid consequential damage.

A scoop stretcher and vacuum mattress are available on every ambulance in accordance with DIN EN 1789 .

execution

execution

The injured person is placed on the prone on a scoop stretcher. Then a vacuum mattress is placed on his back , molded and vacuumed. The patient is now secured with straps, turned on his back and then placed on the stretcher. The scoop stretcher can then be removed again.

restrictions

• Time factor: The implementation of this technique takes time. It can therefore only be used if there are no further complications that require immediate action (e.g. respiratory failure , unconsciousness )
• Ground: Placing a patient on a scoop stretcher can cause great difficulties on uneven ground (e.g. in a meadow).
• "Cooperation / fear" of the patient: Placing the vacuum mattress on the patient can cause a feeling of tightness that can lead to a panic attack, which is not effective if a fracture of the spine is suspected.

The sandwich technique was removed from medical aid and paramedic training at the end of 2010 as part of a change in doctrine by the Austrian Red Cross and is no longer used by this aid organization in the rescue service . This measure was justified by the fact that this technology is only suitable for a small target group of patients due to the restrictions mentioned above, but the training effort is still relatively high. There are also much simpler, but still adequate alternative rescue techniques.

Individual evidence

1. ↑ Austrian Red Cross: Change of Doctrine of Medical Aid - Deletions ( Memento of the original from March 4, 2016 in the Internet Archive ) Info: The archive link was automatically inserted and not yet checked. Please check the original and archive link according to the instructions and then remove this notice. (PDF; 51 kB) 

literature

• Flake, Runggaldier: Working techniques AZ for the rescue service: picture atlas rescue service. Elsevier, Munich; 2008. ISBN 978-3-437-48320-2

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !