University of Manchester, Manchester, UK.
Emergency Department, Manchester Royal Infirmary, Manchester, UK.
Emerg Med J. 2019 Dec;36(12):766-767. doi: 10.1136/emermed-2019-209210.2.
A short cut review was carried out to establish whether patients presenting to the emergency department after a near drowning should have cervical spine immobilisation. A search of the literature found only three studies directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. The clinical bottom line is that cervical spine injuries are rare in drowning and near drowning unless there is a history of diving or a fall or signs of trauma. Cervical spine immobilisation should be reserved for cases where there is a reasonable suspicion of a spinal injury.
进行了简短的复习，以确定在急诊科就诊的近溺水患者是否需要颈椎固定。文献检索仅发现了 3 项直接与该问题相关的研究。作者、出版日期和国家、研究的患者群体、研究类型、相关结局、这些论文的结果和研究弱点都列在表格中。临床底线是，溺水和接近溺水患者颈椎受伤很少见，除非有潜水或跌倒史或有外伤迹象。只有在有合理怀疑脊柱损伤的情况下才应保留颈椎固定。
