دورية أكاديمية
أعرض في EDS

New clinical guidelines on the spinal stabilisation of adult trauma patients - consensus and evidence based.

التفاصيل البيبلوغرافية
العنوان: New clinical guidelines on the spinal stabilisation of adult trauma patients - consensus and evidence based.
المؤلفون: Maschmann C; Emergency Department, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark. c.maschmann@icloud.com.; Department of Anesthesiology, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark. c.maschmann@icloud.com.; Emergency Medical Services Copenhagen, University Copenhagen, Copenhagen, Denmark. c.maschmann@icloud.com., Jeppesen E; Norwegian Trauma Registry, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.; Faculty of Health Science, University of Stavanger, Stavanger, Norway., Rubin MA; Cochrane Anesthesia & Cochrane Critical and Emergency Care Group, Copenhagen, Denmark.; Department of Anesthesiology, Copenhagen University Hospital Herlev, Copenhagen, Denmark., Barfod C; Emergency Medical Services Copenhagen, University Copenhagen, Copenhagen, Denmark.
المصدر: Scandinavian journal of trauma, resuscitation and emergency medicine [Scand J Trauma Resusc Emerg Med] 2019 Aug 19; Vol. 27 (1), pp. 77. Date of Electronic Publication: 2019 Aug 19.
نوع المنشور: Consensus Development Conference; Journal Article; Practice Guideline; Systematic Review
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101477511 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-7241 (Electronic) Linking ISSN: 17577241 NLM ISO Abbreviation: Scand J Trauma Resusc Emerg Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central
مواضيع طبية MeSH: Evidence-Based Emergency Medicine*, Spinal Cord Injuries/*therapy, Adult ; Algorithms ; Denmark ; Humans ; Immobilization ; Moving and Lifting Patients ; Orthotic Devices ; Stretchers ; Triage ; Wounds, Penetrating/complications
مستخلص: Traumatic spinal cord injury is a relatively rare injury in Denmark but may result in serious neurological consequences. For decades, prehospital spinal stabilisation with a rigid cervical collar and a hard backboard has been considered to be the most appropriate procedure to prevent secondary spinal cord injuries during patient transportation. However, the procedure has been questioned in recent years, due to the lack of high-quality studies supporting its efficacy. A national interdisciplinary task force was therefore established to provide updated clinical guidelines on prehospital procedures for spinal stabilisation of adult trauma patients in Denmark. The guidelines are based on a systematic review of the literature and grading of the evidence, in addition to a standardised consensus process.This process yielded five main recommendations:A strong recommendation against spinal stabilisation of patients with isolated penetrating trauma; a weak recommendation against the prehospital use of a rigid cervical collar and a hard backboard for ABCDE-stable patients; and a weak recommendation for the use of a vacuum mattress for patient transportation. Finally, our group recommends the use of our clinical algorithm to ensure good clinical practice.
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معلومات مُعتمدة: 4-1013-148/1 Sundhedsstyrelsen
فهرسة مساهمة: Keywords: Blunt trauma; Guideline; Immobilisation; Penetrating trauma; Rigid cervical collar; Spinal stabilisation; Spineboard; Trauma; Traumatic spinal cord injury; Vacuum mattress
تواريخ الأحداث: Date Created: 20190821 Date Completed: 20191211 Latest Revision: 20231013
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6700785
DOI: 10.1186/s13049-019-0655-x
PMID: 31426850
قاعدة البيانات: MEDLINE
الوصف
تدمد:1757-7241
DOI:10.1186/s13049-019-0655-x