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Wilderness Medical Society Clinical Practice Guidelines for Spinal Cord Protection.
Hawkins, Seth C; Williams, Jason; Bennett, Brad L; Islas, Arthur; Kayser, Dietrich Whitfield; Quinn, Robert.
Afiliação
  • Hawkins SC; Department of Emergency Medicine, Wake Forest University, Winston-Salem, NC. Electronic address: hawk@aya.yale.edu.
  • Williams J; Department of Emergency Medicine, University of New Mexico, Albuquerque, NM.
  • Bennett BL; Military & Emergency Medicine Department, Uniformed Services University of the Health Sciences, Bethesda, MD.
  • Islas A; Department of Family and Community Medicine, University of Nevada, Reno School of Medicine, Reno, NV.
  • Kayser DW; Department of Orthopaedic Surgery, University of Texas Health Science Center, San Antonio, TX.
  • Quinn R; Department of Orthopaedic Surgery, University of Texas Health Science Center, San Antonio, TX.
Wilderness Environ Med ; 30(4S): S87-S99, 2019 Dec.
Article em En | MEDLINE | ID: mdl-31780084
ABSTRACT
The 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos da Medula Espinal / Traumatismos da Coluna Vertebral / Padrões de Prática Médica / Medicina Selvagem Tipo de estudo: Guideline / Prognostic_studies Limite: Humans Idioma: En Revista: Wilderness Environ Med Assunto da revista: SAUDE AMBIENTAL Ano de publicação: 2019 Tipo de documento: Article País de publicação: EEUU / ESTADOS UNIDOS / ESTADOS UNIDOS DA AMERICA / EUA / UNITED STATES / UNITED STATES OF AMERICA / US / USA

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos da Medula Espinal / Traumatismos da Coluna Vertebral / Padrões de Prática Médica / Medicina Selvagem Tipo de estudo: Guideline / Prognostic_studies Limite: Humans Idioma: En Revista: Wilderness Environ Med Assunto da revista: SAUDE AMBIENTAL Ano de publicação: 2019 Tipo de documento: Article País de publicação: EEUU / ESTADOS UNIDOS / ESTADOS UNIDOS DA AMERICA / EUA / UNITED STATES / UNITED STATES OF AMERICA / US / USA