Pre-Hospital Spinal Immobilization: Neurological Outcomes for Spinal Motion Restriction vs. Spinal Immobilization

Kansas Journal of Medicine

article

Aaron Nilhas¹  Stephen Helmer¹  Rachel Drake¹  Jared Reyes¹  Megan Morriss¹  James M Haan² 

[1] University of Kansas School of Medicine–Wichita;Ascension Via Christi St. Francis

关键词: spinal immobilization;    spinal restriction;    neurologic outcomes;   

DOI  :  10.17161/kjm.vol15.16213

学科分类：医学（综合）

来源: The University of Kansas Medical Center

【 摘 要 】

Introduction.  New recommendations for emergency medical services spinal precautions limit long spinal board use to extrication purposes only and are to be removed immediately.  Outcomes for spinal motion restriction versus spinal immobilization were studied. Methods.  A retrospective chart review of trauma patients was conducted over a 6-month period at a level I trauma center.  Injury severity details and neurologic assessments were collected on 277 patients. Results.15: 36.0% vs. 9.9%, p = 0.001) and more likely to have neurological deficits documented by EMS (30.4% vs. 8.8%, p = 0.01) and the trauma team (29.2% vs. 10.9%, p = 0.02). Conclusions.  This study suggests that the long spine board is being properly used for more critically injured patients.  Further research is needed to compare neurological outcomes using a larger sample size and more consistent documentation.

【 授权许可】

Unknown