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Scand J Trauma Resusc Emerg Med. 2017 Jan 5;25(1):2. doi: 10.1186/s13049-016-0345-x.

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

Author information

1
East Anglian Air Ambulance, Cambridge, UK. danielkornhall@me.com.
2
Department of Acute Medicine, Nordland Central Hospital, Postboks 1480, 8092, Bodø, Norway. danielkornhall@me.com.
3
Swedish Air Ambulance, Mora, Sweden. danielkornhall@me.com.
4
Department of Traumatology, Oslo University Hospital, Oslo, Norway.
5
Department of Vascular Surgery, Oslo University Hospital, Oslo, Norway.
6
Neurosurgical Department, Oslo University Hospital, Oslo, Norway.
7
Trauma Unit, Sørlandet Hospital, Kristiansand, Norway.
8
Department of Research, Norwegian Air Ambulance Foundation, Drøbak, Norway.
9
Department of Anesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
10
Helicopter Emergency Medical Services, Bergen, Norway.
11
Emergency Medical Services, University Hospital of North Norway, Tromsø, Norway.
12
Norwegian National Advisory Unit on Trauma, Oslo University Hospital, Oslo, Norway.
13
Department of Health Studies, University of Stavanger, Stavanger, Norway.

Abstract

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.

KEYWORDS:

Airway management; Guideline; Prehospital emergency care; Spinal cord injury; Stabilisation

PMID:
28057029
PMCID:
PMC5217292
DOI:
10.1186/s13049-016-0345-x
[Indexed for MEDLINE]
Free PMC Article

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