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. 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

Daniel K Kornhall  1   2   3 , Jørgen Joakim Jørgensen  4   5 , Tor Brommeland  6 , Per Kristian Hyldmo  7   8 , Helge Asbjørnsen  9   10 , Thomas Dolven  9 , Thomas Hansen  11 , Elisabeth Jeppesen  12   13
Affiliations

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

Daniel K Kornhall et al. Scand J Trauma Resusc Emerg Med. .

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.

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Figures

Fig. 1
Fig. 1
Flowchart describing pre-hospital spinal stabilisation in patients with suspected spinal injury
See this image and copyright information in PMC

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