Spine immobilization in penetrating trauma: More harm than good?

Journal of Trauma - Injury, Infection and Critical Care

Volumn 68, Issue 1, 2010, Pages 115-120

  Haut, Elliott R ^a   Kalish, Brian T ^a   Efron, David T ^a   Haider, Adil H ^a   Stevens, Kent A ^a   Kieninger, Alicia N ^b   Cornwell III, Edward E ^c   Chang, David C ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b WASHINGTON UNIVERSITY   (United States)

^c HOWARD UNIVERSITY COLLEGE OF MEDICINE   (United States)

Author keywords

Gunshot wound; Penetrating trauma; Prehospital care; Spine immobilization; Stab wound; Trauma

Indexed keywords

ADULT; ARTICLE; BLOOD PRESSURE; CONTROLLED STUDY; FEMALE; GUNSHOT INJURY; HUMAN; IMMOBILIZATION; INJURY SCALE; INJURY SEVERITY; MAJOR CLINICAL STUDY; MALE; MORTALITY; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; OUTCOME ASSESSMENT; PATIENT TRANSPORT; PENETRATING TRAUMA; PRIORITY JOURNAL; RISK FACTOR; SPINAL CORD INJURY; SPINE; SPINE STABILIZATION; STAB WOUND; EMERGENCY HEALTH SERVICE; SPINE INJURY; SURVIVAL RATE; TIME;

ADULT; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; IMMOBILIZATION; MALE; SPINAL CORD INJURIES; SPINAL INJURIES; SURVIVAL RATE; TIME FACTORS; WOUNDS, GUNSHOT; WOUNDS, STAB;

EID: 75649130065     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3181c9ee58     Document Type: Article

References (21)

1. Connell RA, Graham CA, Munro PT. Is spinal immobilization necessary for all patients sustaining isolated penetrating trauma? Injury. 2003;34: 912-914
2. Domelier RM, Fredericksen SM, Welch K. Prospective performance assessment of an out-of-hospital protocol for selective spine immobilization using clinical spine clearance criteria. Ann Emerg Med. 2005;46: 123-131
3. Burton JH, Dunn MG, Harmon NR, Hermanson TA, Bradshaw JR. A statewide, prehospital emergency medical service selective patient spine immobilization protocol. J Trauma. 2006;61:161-167
4. Salomone JP, Pons PT, McSwain NE, eds. Prehospital Trauma Life Support. 6th ed. St. Louis: Mosby; 2007:235
5. Salomone JP, Pons PT, McSwain NE, eds. Prehospital Trauma Life Support. 6th ed. St. Louis: Mosby; 2007:100
6. Bickell WH, Wall MJ, Pepe PE, et al. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med. 1994;331:1105-1109
7. Shafi S, Gentilello L. Pre-hospital endotracheal intubation and positive pressure ventilation is associated with hypotension and decreased survival in hypovolemic trauma patients: an analysis of the national trauma data bank. J Trauma. 2005;59:1140-1147
8. Stiell IG, Nesbitt LP, Pickett W, et al; OPALS Study Group. The OPALS Major Trauma Study: impact of advanced life-support on survival and morbidity. CMAJ. 2008;178:1141-1152
9. Cornwell EE III, Chang DC, Bonar JP, et al. Thoraclumbar immobilization for trauma patients with torso gunshot wounds. Arch Surg. 2001;136:324-327
10. Salomone JP, Ustin JS, McSwain NE Jr, Feliciano DV. Opinions of trauma practitioners regarding pre-hospital interventions for critically injured patients. J Trauma. 2005;58:509-517
11. Demetriades D, Chan L, Cornwell E, et al. Paramedic vs private transportation of trauma patients: effect on outcome. Arch Surg. 1996; 131:133-138
12. Liberman M, Mulder D, Lavoie A, Denis R, Sampalis JS. Multicenter Canadian study of pre-hospital trauma care. Ann Surg. 2003;237:153-160
13. Smith JP, Bodai BI, Hill AS, Frey CF. Pre-hospital stabilization of critically injured patients: a failed concept. J Trauma. 1985;25:65-70
14. Seamon MJ, Fischer CA, Gaughan J, et al. Pre-hospital procedures before emergency department thoracotomy: scoop and run saves lives. J Trauma. 2007;63:113-120
15. Arishita GI, Vayer JS, Bellamy RF. Cervical spine immobilization of penetrating neck wounds in a hostile environment. J Trauma. 1989;29:332-337
16. Barkana Y, Stein M, Scope A, et al. Pre-hospital stabilization of the cervical spine for penetrating injuries to the neck-is it necessary? Injury. 2000;31:305-309
17. Kaups KL, Davis JW. Patients with gunshot wounds to the head do not require cervical spine immobilization and evaluation. J Trauma. 1998; 44:865-867
18. Kennedy FR, Gonzalez P, Beitler A, Sterling-Scott R, Fleming AW. Incidence of cervical spine injury in patients with gunshot wounds to the head. South Med J. 1994;87:621-623
19. Chong CL, Ware DN, Harris JH Jr. Is cervical spine imaging indicated in gunshot wounds to the cranium? J Trauma. 1998;44:501-502
20. Lanoix R, Gupta R, Leak L, Pierre J. C-spine injury associated with gunshot wounds to the head: retrospective study and literature review. J Trauma. 2000;49:860-863
21. Demetriades D, Chahwan S, Gomez H, Falabella A, Velmahos G, Yamashita D. Initial evaluation and management of gunshot wounds to the face. J Trauma. 1998;45:39-41 (Pubitemid 28335154)