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- Title
L'utilizzo dell'immobilizzazione spinale in ambito extraospedaliero è ancora il presidio più efficace per la sicurezza del paziente? Un'analisi narrativa della letteratura.
- Authors
Righi, Lorenzo; Dell'Anno, Amedeo; Trapassi, Stefano
- Abstract
Introduction: in out-of-hospital treatment, immobilization of the spine with the spinal board and cervical collar has been considered the best method to ensure patient safety for many years. In recent years, many doubts have arisen about the actual effectiveness of this practice. The aim of this paper is to find out if this garment is still the best for the patient and to find possible alternatives to its use. Materials and Methods: a literature search was conducted by consulting Medline databases via PubMed, GoogleScholar, Web of science and Scopus. The search was conducted in the month of January 2023. Articles in Italian and English dealing with the use of the spinal board and other immobilization aids published within the last 5 years were included. Results: 33 articles were identified in the various databases and 10 articles were subsequently included in the review. Discussion: the use of the spinal board in the out-of-hospital setting is no longer the most effective method of ensuring patient safety and can only be used in certain cases. The use of spinal motion restriction takes the field as an alternative technique. Conclusions: it is necessary that standard immobilization with a cervical collar and spinal board be performed only in cases where it is considered truly necessary. Operators should use tools that help them identify such high-risk individuals.
- Subjects
SPINAL cord physiology; CERVICAL collars; PATIENT safety; PATIENTS; EMERGENCY medical services; EMERGENCY medicine; SPINAL cord injuries; SYSTEMATIC reviews; MEDLINE; PHYSICIAN practice patterns; THERAPEUTIC immobilization; ONLINE information services
- Publication
SCENARIO: Official Italian Journal of ANIARTI, 2024, Vol 41, Issue 2, p1
- ISSN
1592-5951
- Publication type
Article
- DOI
10.4081/scenario.2024.583