Hammerfest Hospital, Department of Anesthesiology and Intensive Care, Finnmark Health Trust, Hammerfest Norway.
Scand J Trauma Resusc Emerg Med. 2011 Aug 4;19:45. doi: 10.1186/1757-7241-19-45.
Trauma patients are customarily transported in the supine position to protect the spine. The Airway, Breathing, Circulation, Disability, and Exposure (ABCDE) principles clearly give priority to airways. In Norway, the lateral trauma position (LTP) was introduced in 2005. We investigated the implementation and current use of LTP in Norwegian Emergency Medical Services (EMS).
All ground and air EMS bases in Norway were included. Interviews were performed with ground and air EMS supervisors. Questionnaires were distributed to ground EMS personnel.
Of 206 ground EMS supervisors, 201 answered; 75% reported that LTP is used. In services using LTP, written protocols were present in 67% and 73% had provided training in LTP use. Questionnaires were distributed to 3,025 ground EMS personnel. We received 1,395 (46%) valid questionnaires. LTP was known to 89% of respondents, but only 59% stated that they use it. Of the respondents using LTP, 77% reported access to written protocols. Flexing of the top knee was reported by 78%, 20% flexed the bottom knee, 81% used under head padding. Of 24 air EMS supervisors, 23 participated. LTP is used by 52% of the services, one of these has a written protocol and three arrange training.
LTP is implemented and used in the majority of Norwegian EMS, despite little evidence as to its possible benefits and harms. How the patient is positioned in the LTP differs. More research on LTP is needed to confirm that its use is based on evidence that it is safe and effective.
创伤患者通常采用仰卧位以保护脊柱。气道、呼吸、循环、残疾和暴露（Airway, Breathing, Circulation, Disability, and Exposure，ABCDE）原则明确优先考虑气道。2005 年，挪威引入了侧卧位创伤患者体位（Lateral Trauma Position，LTP）。我们调查了挪威紧急医疗服务（Emergency Medical Services，EMS）中 LTP 的实施情况和当前使用情况。
纳入挪威所有地面和空中 EMS 基地。对地面和空中 EMS 主管进行访谈，并向地面 EMS 人员发放问卷。
206 名地面 EMS 主管中，201 名做出回应；75%的主管报告称使用 LTP。在使用 LTP 的服务中，67%有书面方案，73%提供 LTP 使用培训。向 3025 名地面 EMS 人员发放问卷，收到 1395 份（46%）有效问卷。89%的受访者知晓 LTP，但只有 59%表示使用过。使用 LTP 的受访者中，77%表示有书面方案。78%的人报告说弯曲上膝，20%弯曲下膝，81%使用头垫。24 名空中 EMS 主管中，23 名参与。52%的服务使用 LTP，其中一个有书面方案，三个安排培训。
尽管关于 LTP 的可能益处和危害的证据很少，但 LTP 在挪威的 EMS 中得到广泛实施和使用。患者在 LTP 中的体位不同。需要更多关于 LTP 的研究来证实其使用基于安全有效的证据。
