title: [Is the malleable mattress harmful for the spinal cord?].
abstract: When the inside pressure of mouldable mattress is lowered isotropic deformation can be harmful for spinal cord. The axial force is measured placing stress gauge in a metallic manikin and in corpse (T2-L1), then on the cephalic top of volunteers. When soles and head are included in an usual mattress, during the retraction stress values raise up to 484 N at 262 mbar for manikin, to 150 N at 315 mbar for corpse, to 102 N at 310 mbar for cephalic top of the volunteers. In comparison, a prototype was tested. Results were improved on metallic models but not on human corpses or volunteers. This test allowed us a better understanding of the mechanism of the stress. It is possible to propose precautionary measures during patient immobilization (to provide a space between soles, head and mattress) and to build a new stressless mattress.
authors: Service d'aide médicale urgente, centre hospitalier universitaire de Besançon.
authors: A
authors: A
authors: Neidhardt
authors: H
authors: H
authors: Flicoteaux
authors: Y
authors: Y
authors: Costes
mesh_terms: D001513:Beds; D001696:Biomechanical Phenomena; D006801:Humans; D007103:Immobilization; D008953:Models, Anatomic; D009104:Multiple Trauma / Q000628:therapy; D013116:Spinal Cord / Q000502:physiology*; D014187:Transportation of Patients
vernacular_title: Le matelas coquille met-il la moelle en péril?