Reevaluating Spinal Motion Restriction: Evidence Update

In this episode of Wilderness Medicine Updates, host Dr. Patrick Fink delves into the evolving guidelines and practices concerning spinal motion restriction. Drawing from historical dogma and modern research, Patrick explores the inefficacies and potential harms of traditional spinal immobilization tools like rigid spine boards and cervical collars. Instead, he advocates for more flexible, evidence-based approaches such as using well-padded surfaces and coaching patients to minimize their own motion. Key points from a comprehensive literature review by the National Association of EMS Physicians and other authoritative bodies are discussed, highlighting the shift from immobilization to motion restriction and its practical implications. Listeners are urged to stay updated with current evidence and consult medical directors before altering their practices.

Links

Ep. 14 - Spinal Immobilization Guidelines Update

2018 ACEP/NAEMSP Sminal Motion Restriction Position Statement

Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries - A NAEMSP Comprehensive Review and Analysis of the Literature

Chapters

00:00 Introduction to Wilderness Medicine Updates

00:42 Historical Perspective on Spinal Immobilization

01:44 Transition to Spinal Motion Restriction

03:30 Review of Recent Literature

05:40 Key Findings on Spinal Motion and Neurological Outcomes

09:30 Effectiveness of Backboards and Cervical Collars

12:10 Potential Harms of Immobilization Tools

16:38 Practical Recommendations and Future Directions

21:48 Conclusion and Final Thoughts

As always, thanks for listening to Wilderness Medicine Updates, hosted by Patrick Fink MD FAWM.

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