Do not move! Spinal immobilization or spinal motor restriction: the long-lasting debate from the Napoleonic Wars to 2024 SIMEU policy statement

Autor: Sossio Serra, Erika Poggiali, Mario Rugna, Fabio De Iaco, Lorenzo Ghiadoni
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Emergency Care Journal, Vol 20, Iss 2 (2024)
Druh dokumentu: article
ISSN: 2282-2054
DOI: 10.4081/ecj.2024.12745
Popis: The management of spinal trauma in the pre-hospital setting is based on techniques of immobilization for prevention of secondary neurological damage in high-risk patients during transportation.1 Since the ’70s, the traditional form of Preventive Spinal Immobilization (PSI) has been carried out using a long spinal board, head blocks, and immobilization straps often associated with the placement of a cervical collar.2 The first documentation of this practice comes from the early 19th century, when pre-hospital trauma care was introduced on the battlefields of the Napoleonic Wars.3 This strategy is still adopted by many pre-hospital medical services worldwide and taught as the gold standard on many trauma courses. The traditional form of PSI is indeed based more on pragmatism than on high-quality studies supporting its efficacy.3 [...]
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