创伤院前管理阶段后脊柱板的使用。
The use of the spinal board after the pre-hospital phase of trauma management.
作者信息
Vickery D
机构信息
Gloucestershire Royal Hospital, Department of Accident and Emergency Medicine, UK.
出版信息
Emerg Med J. 2001 Jan;18(1):51-4. doi: 10.1136/emj.18.1.51.
Abstract
OBJECTIVES
For pre-hospital spinal immobilisation the spinal board is the established gold standard. There are concerns that its subsequent use in hospital may adversely affect patient outcome. This review examines the effect of prolonged patient immobilisation on the spinal board.
METHODS
A database search of the literature and review of relevant trauma texts.
RESULTS
Complications associated with the use of the spinal board were found in five clinically relevant categories: pressure sore development; inadequacies of spinal immobilisation and support; pain and discomfort; respiratory compromise; and quality of radiological imaging.
CONCLUSION
The spinal board should be removed in all patients soon after arrival in accident and emergency departments, ideally after the primary survey and resuscitation phases.
摘要
目的
在院前脊柱固定方面，脊柱板是公认的黄金标准。有人担心其在医院后续使用可能会对患者的治疗结果产生不利影响。本综述探讨了患者长时间使用脊柱板固定的影响。
方法
对文献数据库进行检索，并查阅相关创伤文献。
结果
发现与使用脊柱板相关的并发症有五个临床相关类别：压疮形成；脊柱固定和支撑不足；疼痛和不适；呼吸功能受损；以及放射影像质量。
结论
所有患者在抵达急诊部后应尽快移除脊柱板，理想情况是在初级评估和复苏阶段之后。
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