RESUMO

Since the early 1970s, initial management of patients with suspected spinal injuries has involved the use of a cervical collar and long spine board for full immobilization, which was thought to prevent additional injury to the cervical spine. Despite a growing body of literature demonstrating the detrimental effects and questionable efficacy of spinal immobilization, the practice continued until 2013, when the National Association of EMS Physicians issued a position statement calling for a reduction in the use of spinal immobilization and a shift to spinal-motion restriction. This article examines the literature that prompted the change in spinal-injury management and the virtual elimination of the long spine board as a tool for transport.

Assuntos

Serviços Médicos de Emergência/tendências , Imobilização/normas , Traumatismos da Coluna Vertebral/terapia , Contenções/tendências , Vértebras Cervicais/lesões , Humanos , Movimento (Física) , Pescoço , Sociedades Médicas , Coluna Vertebral , Medicina Esportiva/tendências