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Clinical Guidelines for Delayed or Prolonged Transport*: III. Spine Injury

Published online by Cambridge University Press:  28 June 2012

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Extract

Conventional emergency medical services (EMS) guidelines recommend that essentially every victim of any significant trauma be treated in the field as having an unstable spine injury. For example, any victim of any motor vehicle crash generally is assumed to have an unstable spine injury and is transported to the hospital in full-spine immobilization. This approach generally is reasonable and appropriate for the conventional EMS context of rapid transport, because patient symptoms and physical examination often are unreliable for the time period immediately following the event.

The specialized context of delayed or prolonged transport, however, requires a closer look at assessment criteria and treatment procedures for spine injury. Full-spine immobilization, if it is not required, can be unnecessarily difficult, impractical, impossible, and even dangerous during prolonged evacuation, especially in severe environments or when using improvized equipment. Prolonged transport also provides an opportunity to repeat patient surveys and to observe changes in the patient's condition over time.

Type
We Believe
Information
Prehospital and Disaster Medicine , Volume 8 , Issue 4 , December 1993 , pp. 369 - 371
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1993

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Footnotes

*

This is a corrected version of the We Believe that was published in Vol.8, No. 2 of Prehospilal and Disaster Medicine. Definition number 4 has been corrected. We apologize for this error.

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