Pre-Hospital Management, Physical Examination & Polytrauma Management
Severe trauma has a high probability for spinal injuries. Therefore, proper spinal immobilization is recommended. Additionally, in the multiple injured patient, the most important issue is to get a quick overview about the plentity of possible injuries - some of them do have a higher priority than spinal injuries, some of them do not. And even the spinal injuries can be categorized into different priorities. In this example case, we illustrate, how to immobilize the spine properly, how to set the indication for immobilization and how to prioritize the treatment in the multiple injured patient. This case will detail the following problems:
Pre-hospital management of spinal injuries
How to immobilize the spinal injured patient
Prioritization of treatment in multiple injured patients.
- 1.Bliemel C, Lefering R, Buecking B, Frink M, Struewer J, Krueger A, et al. Early or delayed stabilization in severely injured patients with spinal fractures? Current surgical objectivity according to the trauma registry of DGU: treatment of spine injuries in polytrauma patients. J Trauma Acute Care Surg. 2014;76(2):366–73.CrossRefGoogle Scholar
- 3.Kwan I, Bunn F, Roberts IG. Spinal immobilisation for trauma patients. Cochrane Lib. 2001;(2):CD002803.Google Scholar
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