Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

New clinical guidelines on the spinal stabilisation of adult trauma patients - consensus and evidence based

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Patient experience of spinal immobilisation after trauma

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Availability of suPAR in emergency departments may improve risk stratification: a secondary analysis of the TRIAGE III trial

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Impact of caller's degree-of-worry on triage response in out-of-hours telephone consultations: a randomized controlled trial

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Medical dispatchers' perception of visual information in real out-of-hospital cardiac arrest: a qualitative interview study

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Pre-hospital management of acute stroke patients eligible for thrombolysis - an evaluation of ambulance on-scene time

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Die Zervikalstütze für Traumapatienten – seit 2018 obsolet?

    Research output: Contribution to journalLetterResearchpeer-review

  2. Præhospital behandling og transport af patienter

    Research output: Chapter in Book/Report/Conference proceedingBook chapterCommunication

  3. Smertebehandling og sedation

    Research output: Chapter in Book/Report/Conference proceedingBook chapterEducationpeer-review

View graph of relations

Traumatic spinal cord injury is a relatively rare injury in Denmark but may result in serious neurological consequences. For decades, prehospital spinal stabilisation with a rigid cervical collar and a hard backboard has been considered to be the most appropriate procedure to prevent secondary spinal cord injuries during patient transportation. However, the procedure has been questioned in recent years, due to the lack of high-quality studies supporting its efficacy. A national interdisciplinary task force was therefore established to provide updated clinical guidelines on prehospital procedures for spinal stabilisation of adult trauma patients in Denmark. The guidelines are based on a systematic review of the literature and grading of the evidence, in addition to a standardised consensus process.This process yielded five main recommendations:A strong recommendation against spinal stabilisation of patients with isolated penetrating trauma; a weak recommendation against the prehospital use of a rigid cervical collar and a hard backboard for ABCDE-stable patients; and a weak recommendation for the use of a vacuum mattress for patient transportation. Finally, our group recommends the use of our clinical algorithm to ensure good clinical practice.

Original languageEnglish
JournalScandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Volume27
Issue number1
Pages (from-to)77
ISSN1757-7241
DOIs
Publication statusPublished - 19 Aug 2019

ID: 58157227