Prehospital management of spinal trauma: an evolution.

OBJECTIVE

To discuss the past, present, and future prehospital management of patients who sustain acute spinal cord injury (SCI).

DISCUSSION

Prehospital management of SCI has evolved during the past two decades. Current standards emphasize the immediate treatment of life-threatening injuries while simultaneously preparing for transport to the nearest, appropriate facility. Rapid extrication techniques, pharmacological intervention, airway management, treatment controversies, and future areas of study are discussed.