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

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 commissio...

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Bibliographic Details
Published in:Scandinavian journal of trauma, resuscitation and emergency medicine resuscitation and emergency medicine, 2017-01, Vol.25 (1), p.2-2, Article 2
Main Authors: Kornhall, Daniel K, Jørgensen, Jørgen Joakim, Brommeland, Tor, Hyldmo, Per Kristian, Asbjørnsen, Helge, Dolven, Thomas, Hansen, Thomas, Jeppesen, Elisabeth
Format: Article
Language:English
Subjects:
Clinical medicine
Clinical practice guidelines
Consensus
Emergency Medical Services - standards
Hospitals
Humans
Immobilization - standards
Literature reviews
Morbidity
Mortality
Norway
Practice Guidelines as Topic
Review
Spinal cord injuries
Spinal Injuries - therapy
Surgeons
Trauma
Triage - standards
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Summary: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.
ISSN:1757-7241
1757-7241
DOI:10.1186/s13049-016-0345-x