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Preclinical management of vertebral injuries. A systematic review

Notfall und Rettungsmedizin, ISSN: 1434-6222, Vol: 8, Issue: 3, Page: 162-170
2005
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Article Description

The focus of preclinical management of trauma patients with suspcious vertebral injury is the avoidance of both additional neurological lesions and worsening of the present lesions. Dependent on the trauma mechanisms involved, primary care at the scene has to consider and assess vertebral injury. Associated vertebral injuries may be excluded only in the absence of disturbed consciousness, neurological deficits, vertebral pain, muscular rigidity, intoxication and extremity trauma. Otherwise, patients with potential vertebral injury should be immobilized at the scene with a cervical collar and afterwards rescued using either a padded boards, spine-board or immobilization corset. For transportation, complete immobilization should be assured on a rescue cloth using a vacuum-sealed backboard. Whereas preclinical analgesia is well accepted and standardized, the accompanying corticoid therapy is controversial. Since early surgical intervention may by beneficial, the primary destination should be the nearest trauma centre providing vertebral surgical care. Therefore, a gentle and speedy transport is indicated. © Springer Medizin Verlag 2005.

Bibliographic Details

Alexander Beck; M. Huber-Lang; Michael Bayeff-Filloff; Stefan Sauerland; Hermann Josef Bail; Mark Bardenheuer; Achim Biewener; Bertil Bouillon; Marc Fischbacher; Sebastian Hentsch; Ewald Hüls; Karl Georg Kanz; Christian K. Lackner; Lutz Mahlke; Ivan Marintschev; Gerrit Matthes; Hubert Mayer; M. Raum; Ulrich Schächinger; Thomas Schildhauer; Andreas Seekamp; Erwin Stolpe; Johannes Sturm; F. Walcher; Christian Waydhas; Michael Weinlich; Christoph Wölfl; Gerald Zimmermann

Springer Science and Business Media LLC

Medicine

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