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The Resus Room

Podcasts from the website TheResusRoom.co.uk Promoting excellent care in and around the resus room, concentrating on critical appraisal, evidenced based medicine and international guidelines.
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The Resus Room
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Jul 10, 2017

C-spine immobilisation is a controversial topic because of a lack of high quality evidence from clinical trials. Historical approaches have been challenged, however NICE guidance continues to recommend 3-point immobilisation for all patients with suspected spinal injury despite considerable clinical equipoise.

In this episode we discuss the complexities of balancing the risks and harms when trying to provide a patient centred approach, rather than a “one-size fits all” model.
 
As always, there are a number of papers, guidelines and resources that you should have a look at (it’s not exhaustive, but a good place to start!)
 
Enjoy!
 

Rob

References & Further Reading
 
 
NICE Guidance
 
Major trauma
 
Spinal injury 
 
Faculty of prehospital care consensus statements
 
Spinal immobilisation
 
Minimal patient handling
 
Cochrane reviews
 
Spinal Immobilisation for Trauma
 
Papers of interest
 
Cowley et al 2017
 
Dixon et al 2015
 
Benger & Blackham 2009
 
Hauswald 2015
 
Hauswald 2013
 
Michaleff et al 2012
 
Podcasts
 
RCEM Learning
 
EMCrit
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