Collopy Kevin T, Kivlehan Sean M, Snyder Scott R
Vitalink/Airlink, Wilmington, NC, USA.
EMS World. 2012 Aug;41(8):52-7.
Roughly 2,000 U.S. children experience spinal column injuries annually. However, thousands more present to emergency departments with mechanisms of injury that could injure their spine. When children can follow commands and understand questions, performing a careful and accurate spine assessment may eliminate the need for unnecessary spine immobilization. When a spine injury is suspected, proper pediatric immobilization requires careful control of the spine's weight centers and proper padding to ensure the spine remains in a neutral position.
美国每年约有2000名儿童发生脊柱损伤。然而,还有数千名儿童因可能损伤脊柱的受伤机制而前往急诊科就诊。当儿童能够听从指令并理解问题时,进行仔细而准确的脊柱评估可能会消除不必要的脊柱固定需求。当怀疑有脊柱损伤时,正确的儿童固定需要仔细控制脊柱的重心并适当垫衬,以确保脊柱保持在中立位置。