title: The Norwegian guidelines for the prehospital management of adult trauma patients with potential spinal injury.
abstract: The traditional prehospital management of trauma victims with potential spinal injury has become increasingly questioned as authors and clinicians have raised concerns about over-triage and harm. In order to address these concerns, the Norwegian National Competence Service for Traumatology commissioned a faculty to provide a national guideline for pre-hospital spinal stabilisation. This work is based on a systematic review of available literature and a standardised consensus process. The faculty recommends a selective approach to spinal stabilisation as well as the implementation of triaging tools based on clinical findings. A strategy of minimal handling should be observed.
authors.affiliation: East Anglian Air Ambulance, Cambridge, UK. danielkornhall@me.com.|Department of Acute Medicine, Nordland Central Hospital, Postboks 1480, 8092, Bodø, Norway. danielkornhall@me.com.|Swedish Air Ambulance, Mora, Sweden. danielkornhall@me.com.
authors.forename: Daniel K
authors.initials: DK
authors.lastname: Kornhall
authors.affiliation: Department of Traumatology, Oslo University Hospital, Oslo, Norway.|Department of Vascular Surgery, Oslo University Hospital, Oslo, Norway.
authors.forename: Jørgen Joakim
authors.initials: JJ
authors.lastname: Jørgensen
authors.affiliation: Neurosurgical Department, Oslo University Hospital, Oslo, Norway.
authors.forename: Tor
authors.initials: T
authors.lastname: Brommeland
authors.affiliation: Trauma Unit, Sørlandet Hospital, Kristiansand, Norway.|Department of Research, Norwegian Air Ambulance Foundation, Drøbak, Norway.
authors.forename: Per Kristian
authors.initials: PK
authors.lastname: Hyldmo
authors.affiliation: Department of Anesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.|Helicopter Emergency Medical Services, Bergen, Norway.
authors.forename: Helge
authors.initials: H
authors.lastname: Asbjørnsen
authors.affiliation: Department of Anesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
authors.forename: Thomas
authors.initials: T
authors.lastname: Dolven
authors.affiliation: Emergency Medical Services, University Hospital of North Norway, Tromsø, Norway.
authors.forename: Thomas
authors.initials: T
authors.lastname: Hansen
authors.affiliation: Norwegian National Advisory Unit on Trauma, Oslo University Hospital, Oslo, Norway.|Department of Health Studies, University of Stavanger, Stavanger, Norway.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Jeppesen
mesh_terms: D032921:Consensus; D004632:Emergency Medical Services / Q000592:standards*; D006801:Humans; D007103:Immobilization / Q000592:standards*; D009664:Norway; D017410:Practice Guidelines as Topic; D013124:Spinal Injuries / Q000628:therapy*; D014218:Triage / Q000592:standards*
keywords: Airway management; Guideline; Prehospital emergency care; Spinal cord injury; Stabilisation