I am curious if anyone has come up with any new better answers on how to or how not to immobilize elderly patients. We all know it is not comfortable for anyone much less the elderly but the selective spinal immobilization protocols I have seen exclude the elderly d/t increased incidence of injuries and difficulties assessing them. The program I work with only allows SSI in patients between age 10 & 65.
We also know that padding is critically important if you have to immobilize and vacuum LBBs are a great option.
My question is if there are any other new options. Is there any new research to support SSI in older populations? Are there any other new products? Any new guidelines?