• Wilderness Environ Med · Dec 2019

    Practice Guideline

    Wilderness Medical Society Clinical Practice Guidelines for Spinal Cord Protection.

    • Seth C Hawkins, Jason Williams, Brad L Bennett, Arthur Islas, Dietrich Whitfield Kayser, and Robert Quinn.
    • Department of Emergency Medicine, Wake Forest University, Winston-Salem, NC. Electronic address: hawk@aya.yale.edu.
    • Wilderness Environ Med. 2019 Dec 1; 30 (4S): S87-S99.

    AbstractThe Wilderness Medical Society reconvened an expert panel to update best practice guidelines for spinal cord protection during trauma management. This panel, with membership updated in 2018, was charged with the development of evidence-based guidelines for management of the injured or potentially injured spine in wilderness environments. Recommendations are made regarding several parameters related to spinal cord protection. These recommendations are graded based on the quality of supporting evidence and balance the benefits and risks/burdens for each parameter according to the methodology stipulated by the American College of Chest Physicians. Key recommendations include the concept that interventions should be goal oriented (spinal cord/column protection in the context of overall patient and provider safety) rather than technique oriented (immobilization). This evidence-based, goal-oriented approach does not support the immobilization of suspected spinal injuries via rigid collars or backboards.Copyright © 2019 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

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