The Norwegian guidelines for the prehospital management of adult trauma patients with potential spinal injury

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• 作者：Daniel K Kornhall ; Jørgen Joakim Jørgensen…
• 关键词：Prehospital emergency care ; Spinal cord injury ; Stabilisation ; Airway management ; Guideline
• 刊名：Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
• 出版年：2017
• 出版时间：December 2017
• 年：2017
• 卷：25
• 期：1
• 全文大小：562KB
• 刊物主题：Emergency Medicine; Traumatic Surgery;
• 出版者：BioMed Central
• ISSN：1757-7241
• 卷排序：25

文摘

The traditional prehospital management of trauma victims with potential spinal injury has become increasingly questioned as authors and clinicians have raised concerns about over-triage and harm. In order to address these concerns, the Norwegian National Competence Service for Traumatology commissioned a faculty to provide a national guideline for pre-hospital spinal stabilisation. This work is based on a systematic review of available literature and a standardised consensus process. The faculty recommends a selective approach to spinal stabilisation as well as the implementation of triaging tools based on clinical findings. A strategy of minimal handling should be observed.