Kornhall Daniel K, Jørgensen Jørgen Joakim, Brommeland Tor, Hyldmo Per Kristian, Asbjørnsen Helge, Dolven Thomas, Hansen Thomas, Jeppesen Elisabeth
East Anglian Air Ambulance, Cambridge, UK.
Department of Acute Medicine, Nordland Central Hospital, Postboks 1480, 8092, Bodø, Norway.
Scand J Trauma Resusc Emerg Med. 2017 Jan 5;25(1):2. doi: 10.1186/s13049-016-0345-x.
The traditional prehospital management of trauma victims with potential spinal injury has become increasingly questioned as authors and clinicians have raised concerns about over-triage and harm. In order to address these concerns, the Norwegian National Competence Service for Traumatology commissioned a faculty to provide a national guideline for pre-hospital spinal stabilisation. This work is based on a systematic review of available literature and a standardised consensus process. The faculty recommends a selective approach to spinal stabilisation as well as the implementation of triaging tools based on clinical findings. A strategy of minimal handling should be observed.
随着作者和临床医生对过度分诊及危害提出担忧，传统的对可能存在脊柱损伤的创伤受害者的院前管理方式越来越受到质疑。为解决这些担忧，挪威国家创伤学能力服务机构委托一个专家组制定一份院前脊柱固定的国家指南。这项工作基于对现有文献的系统综述和标准化的共识过程。该专家组建议采用选择性的脊柱固定方法以及基于临床发现实施分诊工具。应遵循最小化处理策略。
