Anesthesia Department, University of Pittsburgh Medical Center Passavant Hospital, PA.
J Athl Train. 2018 Aug;53(8):752-755. doi: 10.4085/1062-6050-462-17. Epub 2018 Sep 17.
Since the early 1970s, initial management of patients with suspected spinal injuries has involved the use of a cervical collar and long spine board for full immobilization, which was thought to prevent additional injury to the cervical spine. Despite a growing body of literature demonstrating the detrimental effects and questionable efficacy of spinal immobilization, the practice continued until 2013, when the National Association of EMS Physicians issued a position statement calling for a reduction in the use of spinal immobilization and a shift to spinal-motion restriction. This article examines the literature that prompted the change in spinal-injury management and the virtual elimination of the long spine board as a tool for transport.
自 20 世纪 70 年代初以来，疑似脊柱损伤患者的初始治疗方案包括使用颈托和长脊柱板进行完全固定，这被认为可以防止颈椎进一步受伤。尽管越来越多的文献表明脊柱固定的有害影响和效果值得怀疑，但这种做法一直持续到 2013 年，当时国家急救医疗服务医师协会发表了一份立场声明，呼吁减少脊柱固定的使用，并转向限制脊柱活动。本文研究了促使脊柱损伤管理方式发生改变的文献，并探讨了长脊柱板作为运输工具的实际淘汰。
