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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2017

Open Access 01-12-2017 | Review

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

Authors: Daniel K Kornhall, Jørgen Joakim Jørgensen, Tor Brommeland, Per Kristian Hyldmo, Helge Asbjørnsen, Thomas Dolven, Thomas Hansen, Elisabeth Jeppesen

Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Issue 1/2017

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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.
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Literature
1.
Prasad VS, Schwartz A, Bhutani R, Sharkey PW, Schwartz ML. Characteristics of injuries to the cervical spine and spinal cord in polytrauma patient population: experience from a regional trauma unit. Spinal Cord. 1999;37:560–8.PubMedCrossRef
2.
Connor D, Greaves I, Porter K, Bloch M, consensus group FoP-HC. Pre-hospital spinal immobilisation: an initial consensus statement. Emerg Med J. 2013;30:1067–9.PubMedCrossRef
3.
Brunette DD, Rockswold GL. Neurologic recovery following rapid spinal realignment for complete cervical spinal cord injury. J Trauma. 1987;27:445–7.PubMedCrossRef
4.
Burney RE, Waggoner R, Maynard FM. Stabilization of spinal injury for early transfer. J Trauma. 1989;29:1497–9.PubMedCrossRef
5.
6.
Geisler WO, Wynne-Jones M, Jousse AT. Early management of the patient with trauma to the spinal cord. Med Serv J Can. 1966;22:512–23.PubMed
7.
Kossuth LC. The initial movement of the injured. Mil Med. 1967;132:18–21.PubMed
8.
9.
Bohlman HH. Acute fractures and dislocations of the cervical spine. An analysis of three hundred hospitalized patients and review of the literature. J Bone Joint Surg Am. 1979;61:1119–42.PubMedCrossRef
10.
Rimel RW, Jane JA, Edlich RF. An educational training program for the care at the site of injury of trauma to the central nervous system. Resuscitation. 1981;9:23–8.PubMedCrossRef
11.
Wagner Jr FC, Johnson RM. Cervical bracing after trauma. Med Instrum. 1982;16:287–8.PubMed
12.
Cline JR, Scheidel E, Bigsby EF. A comparison of methods of cervical immobilization used in patient extrication and transport. J Trauma. 1985;25:649–53.PubMedCrossRef
13.
Moylan JA. Trauma injuries. Triage and stabilization for safe transfer. Postgrad Med. 1985;78:166–71. 174–165, 177.PubMedCrossRef
14.
Jeanneret B, Magerl F, Ward JC. Overdistraction: a hazard of skull traction in the management of acute injuries of the cervical spine. Arch Orthop Trauma Surg. 1991;110:242–5.PubMedCrossRef
15.
Farrington JD. Death in a Ditch. 1967. Bull Am Coll Surg. 2013;98:44–53. discussion 43.PubMed
16.
Stauffer ES. Orthotics for spinal cord injuries. Clin Orthop Relat Res. 1974;102:92–9.CrossRef
17.
Fenstermaker RA. Acute neurologic management of the patient with spinal cord injury. Urol Clin North Am. 1993;20:413–21.PubMed
18.
Frohna WJ. Emergency department evaluation and treatment of the neck and cervical spine injuries. Emerg Med Clin North Am. 1999;17:739–91. v.PubMedCrossRef
19.
White CC, Domeier RM, Millin MG, Standards, Clinical Practice Committee NAoEMSP. EMS spinal precautions and the use of the long backboard - resource document to the position statement of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma. Prehosp Emerg Care. 2014;18:306–14.PubMedCrossRef
20.
Schriger DL, Larmon B, LeGassick T, Blinman T. Spinal immobilization on a flat backboard: does it result in neutral position of the cervical spine? Ann Emerg Med. 1991;20:878–81.PubMedCrossRef
21.
Nypaver M, Treloar D. Neutral cervical spine positioning in children. Ann Emerg Med. 1994;23:208–11.PubMedCrossRef
22.
Curran C, Dietrich AM, Bowman MJ, Ginn-Pease ME, King DR, Kosnik E. Pediatric cervical-spine immobilization: achieving neutral position? J Trauma. 1995;39:729–32.PubMedCrossRef
23.
Schriger DL. Immobilizing the cervical spine in trauma: should we seek an optimal position or an adequate one? Ann Emerg Med. 1996;28:351–3.PubMed
24.
Del Rossi G, Rechtine GR, Conrad BP, Horodyski M. Is sub-occipital padding necessary to maintain optimal alignment of the unstable spine in the prehospital setting? A preliminary report. J Emerg Med. 2013;45:366–71.PubMedCrossRef
25.
Worsing Jr RA. Principles of prehospital care of musculoskeletal injuries. Emerg Med Clin North Am. 1984;2:205–17.PubMed
26.
27.
McGuire Jr RA. Protection of the unstable spine during transport and early hospitalization. J Miss State Med Assoc. 1991;32:305–8.PubMed
28.
Alexander RH, Proctor HJ, American College of Surgeons, Committee on Trauma. Advanced trauma life support program for physicians : ATLS. 5th edn. Chicago, IL: American College of Surgeons; 1993.
29.
Mazolewski P, Manix TH. The effectiveness of strapping techniques in spinal immobilization. Ann Emerg Med. 1994;23:1290–5.PubMedCrossRef
30.
31.
Perry SD, McLellan B, McIlroy WE, Maki BE, Schwartz M, Fernie GR. The efficacy of head immobilization techniques during simulated vehicle motion. Spine (Phila Pa 1976). 1999;24:1839–44.CrossRef
32.
Cervical spine immobilization before admission to the hospital. Neurosurgery 2002, 50:S7-17.
33.
34.
Graziano AF, Scheidel EA, Cline JR, Baer LJ. A radiographic comparison of prehospital cervical immobilization methods. Ann Emerg Med. 1987;16:1127–31.PubMedCrossRef
35.
Cohen J. A new device for the care of acute spinal injuries: the Russel extrication device. Aeromedical J. 1988;3:41.CrossRef
36.
Chandler DR, Nemejc C, Adkins RH, Waters RL. Emergency cervical-spine immobilization. Ann Emerg Med. 1992;21:1185–8.PubMedCrossRef
37.
Carter VM, Fasen JA, Roman Jr JM, Hayes KW, Petersen CM. The effect of a soft collar, used as normally recommended or reversed, on three planes of cervical range of motion. J Orthop Sports Phys Ther. 1996;23:209–15.PubMedCrossRef
38.
Tuite GF, Veres R, Crockard HA, Peterson D, Hayward RD. Use of an adjustable, transportable, radiolucent spinal immobilization device in the comprehensive management of cervical spine instability: Technical note. J Neurosurg. 1996;85:1177–80.PubMedCrossRef
39.
Markenson D, Foltin G, Tunik M, Cooper A, Giordano L, Fitton A, Lanotte T. The Kendrick extrication device used for pediatric spinal immobilization. Prehosp Emerg Care. 1999;3:66–9.PubMedCrossRef
40.
McHugh TP, Taylor JP. Unnecessary out-of-hospital use of full spinal immobilization. Acad Emerg Med. 1998;5:278–80.PubMedCrossRef
41.
Orledge JD, Pepe PE. Out-of-hospital spinal immobilization: is it really necessary? Acad Emerg Med. 1998;5:203–4.PubMedCrossRef
42.
Kwan I, Bunn F. Effects of prehospital spinal immobilization: a systematic review of randomized trials on healthy subjects. Prehosp Disaster Med. 2005;20:47–53.PubMedCrossRef
43.
Abram S, Bulstrode C. Routine spinal immobilization in trauma patients: what are the advantages and disadvantages? Surgeon. 2010;8:218–22.PubMedCrossRef
44.
Sundstrom T, Asbjornsen H, Habiba S, Sunde GA, Wester K. Prehospital use of cervical collars in trauma patients: a critical review. J Neurotrauma. 2014;31:531–40.PubMedPubMedCentralCrossRef
45.
Hyldmo PK, Vist GE, Feyling AC, Rognas L, Magnusson V, Sandberg M, Soreide E. Is the supine position associated with loss of airway patency in unconscious trauma patients? A systematic review and meta-analysis. Scand J Trauma Resusc Emerg Med. 2015;23:50.PubMedPubMedCentralCrossRef
46.
Theodore N, Hadley MN, Aarabi B, Dhall SS, Gelb DE, Hurlbert RJ, Rozzelle CJ, Ryken TC, Walters BC. Prehospital cervical spinal immobilization after trauma. Neurosurgery. 2013;72 Suppl 2:22–34.PubMedCrossRef
47.
48.
49.
50.
51.
52.
53.
54.
Ahn H, Singh J, Nathens A, MacDonald RD, Travers A, Tallon J, Fehlings MG, Yee A. Pre-hospital care management of a potential spinal cord injured patient: a systematic review of the literature and evidence-based guidelines. J Neurotrauma. 2011;28:1341–61.PubMedPubMedCentralCrossRef
55.
Oteir AO, Smith K, Jennings PA, Stoelwinder JU. The prehospital management of suspected spinal cord injury: an update. Prehosp Disaster Med. 2014;29:399–402.PubMedCrossRef
56.
57.
Stuke LE, Pons PT, Guy JS, Chapleau WP, Butler FK, McSwain NE. Prehospital spine immobilization for penetrating trauma--review and recommendations from the Prehospital Trauma Life Support Executive Committee. J Trauma. 2011;71:763–9. discussion 769–770.PubMedCrossRef
58.
Hyldmo PK, Vist GE, Feyling AC, Rognas L, Magnusson V, Sandberg M, Soreide E. Does turning trauma patients with an unstable spinal injury from the supine to a lateral position increase the risk of neurological deterioration?--A systematic review. Scand J Trauma Resusc Emerg Med. 2015;23:65.PubMedPubMedCentralCrossRef
59.
Oteir AO, Smith K, Stoelwinder JU, Middleton J, Jennings PA. Should suspected cervical spinal cord injury be immobilised?: a systematic review. Injury. 2015;46:528–35.PubMedCrossRef
60.
Green BA, Eismont FJ. Acute spinal cord injury: a systems approach. Cent Nerv Syst Trauma. 1984;1:173–95.PubMedCrossRef
61.
Olson CM, Jastremski MS, Vilogi JP, Madden CM, Beney KM. Stabilization of patients prior to interhospital transfer. Am J Emerg Med. 1987;5:33–9.PubMedCrossRef
62.
Garfin SR, Shackford SR, Marshall LF, Drummond JC: Care of the multiply injured patient with cervical spine injury. Clin Orthop Relat Res 1989;(239):19–29.
63.
Waters RL, Meyer Jr PR, Adkins RH, Felton D. Emergency, acute, and surgical management of spine trauma. Arch Phys Med Rehabil. 1999;80:1383–90.PubMedCrossRef
64.
65.
Marshall LF, Knowlton S, Garfin SR, Klauber MR, Eisenberg HM, Kopaniky D, Miner ME, Tabbador K, Clifton GL. Deterioration following spinal cord injury. A multicenter study. J Neurosurg. 1987;66:400–4.PubMedCrossRef
66.
Toscano J. Prevention of neurological deterioration before admission to a spinal cord injury unit. Paraplegia. 1988;26:143–50.PubMedCrossRef
67.
Todd NV, Skinner D, Wilson-MacDonald J. Secondary neurological deterioration in traumatic spinal injury: data from medicolegal cases. Bone Joint J. 2015;97-B:527–31.PubMedCrossRef
68.
Hauswald M, Ong G, Tandberg D, Omar Z. Out-of-hospital spinal immobilization: its effect on neurologic injury. Acad Emerg Med. 1998;5:214–9.PubMedCrossRef
69.
Moss R, Greaves I. consensus g: Minimal patient handling: a faculty of prehospital care consensus statement. Emerg Med J. 2013;30:1065–6.PubMedCrossRef
70.
Bauer D, Kowalski R. Effect of spinal immobilization devices on pulmonary function in the healthy, nonsmoking man. Ann Emerg Med. 1988;17:915–8.PubMedCrossRef
71.
Walsh M, Grant T, Mickey S. Lung function compromised by spinal immobilization. Ann Emerg Med. 1990;19:615–6.PubMedCrossRef
72.
Schafermeyer RW, Ribbeck BM, Gaskins J, Thomason S, Harlan M, Attkisson A. Respiratory effects of spinal immobilization in children. Ann Emerg Med. 1991;20:1017–9.PubMedCrossRef
73.
Totten VY, Sugarman DB. Respiratory effects of spinal immobilization. Prehosp Emerg Care. 1999;3:347–52.PubMedCrossRef
74.
Haut ER, Kalish BT, Efron DT, Haider AH, Stevens KA, Kieninger AN, Cornwell 3rd EE, Chang DC. Spine immobilization in penetrating trauma: more harm than good? J Trauma. 2010;68:115–20. discussion 120–111.PubMedCrossRef
75.
76.
Gunn BD, Eizenberg N, Silberstein M, McMeeken JM, Tully EA, Stillman BC, Brown DJ, Gutteridge GA. How should an unconscious person with a suspected neck injury be positioned? Prehosp Disaster Med. 1995;10:239–44.PubMedCrossRef
77.
Fattah S, Ekas GR, Hyldmo PK, Wisborg T. The lateral trauma position: what do we know about it and how do we use it? A cross-sectional survey of all Norwegian emergency medical services. Scand J Trauma Resusc Emerg Med. 2011;19:45.PubMedPubMedCentralCrossRef
78.
Domeier RM, Evans RW, Swor RA, Rivera-Rivera EJ, Frederiksen SM. Prehospital clinical findings associated with spinal injury. Prehosp Emerg Care. 1997;1:11–5.PubMedCrossRef
79.
Lin HL, Lee WC, Chen CW, Lin TY, Cheng YC, Yeh YS, Lin YK, Kuo LC. Neck collar used in treatment of victims of urban motorcycle accidents: over- or underprotection? Am J Emerg Med. 2011;29:1028–33.PubMedCrossRef
80.
Boland LL, Satterlee PA, Jansen PR. Cervical spine fractures in elderly patients with hip fracture after low-level fall: an opportunity to refine prehospital spinal immobilization guidelines? Prehosp Disaster Med. 2014;29:96–9.PubMedCrossRef
81.
Morrison J, Jeanmonod R. Imaging in the NEXUS-negative patient: when we break the rule. Am J Emerg Med. 2014;32:67–70.PubMedCrossRef
82.
Hoffman JR, Mower WR, Wolfson AB, Todd KH, Zucker MI. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma, National Emergency X-Radiography Utilization Study Group. N Engl J Med. 2000;343:94–9.PubMedCrossRef
83.
Michaleff ZA, Maher CG, Verhagen AP, Rebbeck T, Lin CW. Accuracy of the Canadian C-spine rule and NEXUS to screen for clinically important cervical spine injury in patients following blunt trauma: a systematic review. CMAJ. 2012;184:E867–876.PubMedPubMedCentralCrossRef
84.
Stroh G, Braude D. Can an out-of-hospital cervical spine clearance protocol identify all patients with injuries? An argument for selective immobilization. Ann Emerg Med. 2001;37:609–15.PubMedCrossRef
85.
Burton JH, Dunn MG, Harmon NR, Hermanson TA, Bradshaw JR. A statewide, prehospital emergency medical service selective patient spine immobilization protocol. J Trauma. 2006;61:161–7.PubMedCrossRef
86.
Domeier RM, Evans RW, Swor RA, Hancock JB, Fales W, Krohmer J, Frederiksen SM, Shork MA. The reliability of prehospital clinical evaluation for potential spinal injury is not affected by the mechanism of injury. Prehosp Emerg Care. 1999;3:332–7.PubMedCrossRef
87.
Muhr MD, Seabrook DL, Wittwer LK. Paramedic use of a spinal injury clearance algorithm reduces spinal immobilization in the out-of-hospital setting. Prehosp Emerg Care. 1999;3:1–6.PubMedCrossRef
88.
Hong R, Meenan M, Prince E, Murphy R, Tambussi C, Rohrbach R, Baumann BM. Comparison of three prehospital cervical spine protocols for missed injuries. West J Emerg Med. 2014;15:471–9.PubMedPubMedCentralCrossRef
89.
Domeier RM, Evans RW, Swor RA, Rivera-Rivera EJ, Frederiksen SM. Prospective validation of out-of-hospital spinal clearance criteria: a preliminary report. Acad Emerg Med. 1997;4:643–6.PubMedCrossRef
90.
Brown LH, Gough JE, Simonds WB. Can EMS providers adequately assess trauma patients for cervical spinal injury? Prehosp Emerg Care. 1998;2:33–6.PubMedCrossRef
91.
Meldon SW, Brant TA, Cydulka RK, Collins TE, Shade BR. Out-of-hospital cervical spine clearance: agreement between emergency medical technicians and emergency physicians. J Trauma. 1998;45:1058–61.PubMedCrossRef
92.
Domeier RM, Swor RA, Evans RW, Hancock JB, Fales W, Krohmer J, Frederiksen SM, Rivera-Rivera EJ, Schork MA. Multicenter prospective validation of prehospital clinical spinal clearance criteria. J Trauma. 2002;53:744–50.PubMedCrossRef
93.
Tello RR, Braude D, Fullerton L, Froman P. Outcome of trauma patients immobilized by emergency department staff, but not by emergency medical services providers: a quality assurance initiative. Prehosp Emerg Care. 2014;18:544–9.PubMedCrossRef
94.
Roozmon P, Gracovetsky SA, Gouw GJ, Newman N. Examining motion in the cervical spine. I: Imaging systems and measurement techniques. J Biomed Eng. 1993;15:5–12.PubMedCrossRef
95.
Podolsky S, Baraff LJ, Simon RR, Hoffman JR, Larmon B, Ablon W. Efficacy of cervical spine immobilization methods. J Trauma. 1983;23:461–5.PubMedCrossRef
96.
McCabe JB, Nolan DJ. Comparison of the effectiveness of different cervical immobilization collars. Ann Emerg Med. 1986;15:50–3.PubMedCrossRef
97.
McGuire RA, Degnan G, Amundson GM. Evaluation of current extrication orthoses in immobilization of the unstable cervical spine. Spine (Phila Pa 1976). 1990;15:1064–7.CrossRef
98.
Rosen PB, McSwain Jr NE, Arata M, Stahl S, Mercer D. Comparison of two new immobilization collars. Ann Emerg Med. 1992;21:1189–95.PubMedCrossRef
99.
Del Rossi G, Heffernan TP, Horodyski M, Rechtine GR. The effectiveness of extrication collars tested during the execution of spine-board transfer techniques. Spine J. 2004;4:619–23.PubMedCrossRef
100.
Horodyski M, DiPaola CP, Conrad BP, Rechtine 2nd GR. Cervical collars are insufficient for immobilizing an unstable cervical spine injury. J Emerg Med. 2011;41:513–9.PubMedCrossRef
101.
Ivancic PC. Do cervical collars and cervicothoracic orthoses effectively stabilize the injured cervical spine? A biomechanical investigation. Spine (Phila Pa 1976). 2013;38:E767–774.CrossRef
102.
Holla M. Value of a rigid collar in addition to head blocks: a proof of principle study. Emerg Med J. 2012;29:104–7.PubMedCrossRef
103.
Raphael JH, Chotai R. Effects of the cervical collar on cerebrospinal fluid pressure. Anaesthesia. 1994;49:437–9.PubMedCrossRef
104.
Davies G, Deakin C, Wilson A. The effect of a rigid collar on intracranial pressure. Injury. 1996;27:647–9.PubMedCrossRef
105.
Kolb JC, Summers RL, Galli RL. Cervical collar-induced changes in intracranial pressure. Am J Emerg Med. 1999;17:135–7.PubMedCrossRef
106.
Ben-Galim P, Dreiangel N, Mattox KL, Reitman CA, Kalantar SB, Hipp JA. Extrication collars can result in abnormal separation between vertebrae in the presence of a dissociative injury. J Trauma. 2010;69:447–50.PubMedCrossRef
107.
Podolsky SM, Hoffman JR, Pietrafesa CA. Neurologic complications following immobilization of cervical spine fracture in a patient with ankylosing spondylitis. Ann Emerg Med. 1983;12:578–80.PubMedCrossRef
108.
Thumbikat P, Hariharan RP, Ravichandran G, McClelland MR, Mathew KM. Spinal cord injury in patients with ankylosing spondylitis: a 10-year review. Spine (Phila Pa 1976). 2007;32:2989–95.CrossRef
109.
Plaisier B, Gabram SG, Schwartz RJ, Jacobs LM. Prospective evaluation of craniofacial pressure in four different cervical orthoses. J Trauma. 1994;37:714–20.PubMedCrossRef
110.
Lerner EB, Billittier AJ, Moscati RM. The effects of neutral positioning with and without padding on spinal immobilization of healthy subjects. Prehosp Emerg Care. 1998;2:112–6.PubMedCrossRef
111.
Bruijns SR, Guly HR, Wallis LA. Effect of spinal immobilization on heart rate, blood pressure and respiratory rate. Prehosp Disaster Med. 2013;28:210–4.PubMedCrossRef
112.
Hewitt S. Skin necrosis caused by a semi-rigid cervical collar in a ventilated patient with multiple injuries. Injury. 1994;25:323–4.PubMedCrossRef
113.
Liew SC, Hill DA. Complication of hard cervical collars in multi-trauma patients. Aust N Z J Surg. 1994;64:139–40.PubMedCrossRef
114.
Rodgers JA, Rodgers WB. Marginal mandibular nerve palsy due to compression by a cervical hard collar. J Orthop Trauma. 1995;9:177–9.PubMedCrossRef
115.
Blaylock B. Solving the problem of pressure ulcers resulting from cervical collars. Ostomy Wound Manage. 1996;42:26–8. 30, 32–23.PubMed
116.
Black CA, Buderer NM, Blaylock B, Hogan BJ. Comparative study of risk factors for skin breakdown with cervical orthotic devices: Philadelphia and Aspen. J Trauma Nurs. 1998;5:62–6.PubMedCrossRef
117.
Conrad BP, Rechtine G, Weight M, Clarke J, Horodyski M. Motion in the unstable cervical spine during hospital bed transfers. J Trauma. 2010;69:432–6.PubMedCrossRef
118.
Prasarn ML, Conrad B, Del Rossi G, Horodyski M, Rechtine GR. Motion generated in the unstable cervical spine during the application and removal of cervical immobilization collars. J Trauma Acute Care Surg. 2012;72:1609–13.PubMedCrossRef
119.
Conrad BP, Rossi GD, Horodyski MB, Prasarn ML, Alemi Y, Rechtine GR. Eliminating log rolling as a spine trauma order. Surg Neurol Int. 2012;3:S188–197.PubMedPubMedCentralCrossRef
120.
121.
Leech C, Porter K, Bosanko C. Log-rolling a blunt major trauma patient is inappropriate in the primary survey. Emerg Med J. 2014;31:86.PubMedCrossRef
122.
McGuire RA, Neville S, Green BA, Watts C. Spinal instability and the log-rolling maneuver. J Trauma. 1987;27:525–31.PubMedCrossRef
123.
Suter RE, Tighe TV, Sartori J, Reed K. Thoraco-Lumbar Spinal Instability during Variations of the Log-Roll Maneuver. Prehosp Disaster Med. 1992;7:133–8.CrossRef
124.
Conrad BP, Horodyski M, Wright J, Ruetz P, Rechtine 2nd GR. Log-rolling technique producing unacceptable motion during body position changes in patients with traumatic spinal cord injury. J Neurosurg Spine. 2007;6:540–3.PubMedCrossRef
125.
Del Rossi G, Horodyski MH, Conrad BP, Di Paola CP, Di Paola MJ, Rechtine GR. The 6-plus-person lift transfer technique compared with other methods of spine boarding. J Athl Train. 2008;43:6–13.PubMedPubMedCentralCrossRef
126.
Del Rossi G, Horodyski M, Conrad BP, Dipaola CP, Dipaola MJ, Rechtine GR. Transferring patients with thoracolumbar spinal instability: are there alternatives to the log roll maneuver? Spine (Phila Pa 1976). 2008;33:1611–5.CrossRef
127.
Del Rossi G, Rechtine GR, Conrad BP, Horodyski M. Are scoop stretchers suitable for use on spine-injured patients? Am J Emerg Med. 2010;28:751–6.PubMedCrossRef
128.
Horodyski M, Conrad BP, Del Rossi G, DiPaola CP, Rechtine 2nd GR. Removing a patient from the spine board: is the lift and slide safer than the log roll? J Trauma. 2011;70:1282–5. discussion 1285.PubMedCrossRef
129.
Hachen HJ. Emergency transportation in the event of acute spinal cord lesion. Paraplegia. 1974;12:33–7.PubMedCrossRef
130.
Krell JM, McCoy MS, Sparto PJ, Fisher GL, Stoy WA, Hostler DP. Comparison of the Ferno Scoop Stretcher with the long backboard for spinal immobilization. Prehosp Emerg Care. 2006;10:46–51.PubMedCrossRef
131.
132.
133.
Chan D, Goldberg R, Tascone A, Harmon S, Chan L. The effect of spinal immobilization on healthy volunteers. Ann Emerg Med. 1994;23:48–51.PubMedCrossRef
134.
Cordell WH, Hollingsworth JC, Olinger ML, Stroman SJ, Nelson DR. Pain and tissue-interface pressures during spine-board immobilization. Ann Emerg Med. 1995;26:31–6.PubMedCrossRef
135.
Walton R, DeSalvo JF, Ernst AA, Shahane A. Padded vs unpadded spine board for cervical spine immobilization. Acad Emerg Med. 1995;2:725–8.PubMedCrossRef
136.
Linares HA, Mawson AR, Suarez E, Biundo JJ. Association between pressure sores and immobilization in the immediate post-injury period. Orthopedics. 1987;10:571–3.PubMed
137.
Mawson AR, Biundo Jr JJ, Neville P, Linares HA, Winchester Y, Lopez A. Risk factors for early occurring pressure ulcers following spinal cord injury. Am J Phys Med Rehabil. 1988;67:123–7.PubMedCrossRef
138.
Chan D, Goldberg RM, Mason J, Chan L. Backboard versus mattress splint immobilization: a comparison of symptoms generated. J Emerg Med. 1996;14:293–8.PubMedCrossRef
139.
Hamilton RS, Pons PT. The efficacy and comfort of full-body vacuum splints for cervical-spine immobilization. J Emerg Med. 1996;14:553–9.PubMedCrossRef
140.
Johnson DR, Hauswald M, Stockhoff C. Comparison of a vacuum splint device to a rigid backboard for spinal immobilization. Am J Emerg Med. 1996;14:369–72.PubMedCrossRef
141.
Mok JM, Jackson KL, Fang R, Freedman BA. Effect of vacuum spine board immobilization on incidence of pressure ulcers during evacuation of military casualties from theater. Spine J. 2013;13:1801–8.PubMedCrossRef
142.
Mahshidfar B, Mofidi M, Yari AR, Mehrsorosh S. Long backboard versus vacuum mattress splint to immobilize whole spine in trauma victims in the field: a randomized clinical trial. Prehosp Disaster Med. 2013;28:462–5.PubMedCrossRef
143.
144.
Stevens AC, Trammell TR, Billows GL, Ladd LM, Olinger ML. Radiation exposure as a consequence of spinal immobilization and extrication. J Emerg Med. 2015;48:172–7.PubMedCrossRef
145.
146.
Dixon M, O’Halloran J, Hannigan A, Keenan S, Cummins NM. Confirmation of suboptimal protocols in spinal immobilisation? Emerg Med J. 2015;32:939–45.PubMedPubMedCentralCrossRef
Metadata
Title
The Norwegian guidelines for the prehospital management of adult trauma patients with potential spinal injury
Authors
Daniel K Kornhall
Jørgen Joakim Jørgensen
Tor Brommeland
Per Kristian Hyldmo
Helge Asbjørnsen
Thomas Dolven
Thomas Hansen
Elisabeth Jeppesen
Publication date
01-12-2017
Publisher
BioMed Central
DOI
https://doi.org/10.1186/s13049-016-0345-x

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