Kornhall D et al. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017; 25:2 - DOI: 10.1186/s13049-016-0345-x - Published: 5 January 2017
"The traditional prehospital management of trauma victims with potential spinal injury has become increasingly questioned as authors and clinicians have raised concerns about over-triage and harm. In order to address these concerns, the Norwegian National Competence Service for Traumatology commissioned a faculty to provide a national guideline for pre-hospital spinal stabilisation. This work is based on a systematic review of available literature and a standardised consensus process. The faculty recommends a selective approach to spinal stabilisation as well as the implementation of triaging tools based on clinical findings. A strategy of minimal handling should be observed.
Summary
This guideline, based on consensus and the best available evidence, is an attempt to address concerns about over-triage, harms and costs associated with the traditional management of potential spinal injury. The faculty found no reason to abandon the current doctrine of spinal immobilisation in patients with potential spinal injury. We do, however, recommend implementing pre-hospital triaging tools as well as maintaining a selective approach to the use of the various stabilisation devices."