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Development of a New Emergency Medicine Spinal Immobilization Protocol for Pediatric Trauma Patients and First Applicability Test on Emergency Medicine Personnel.
Nolte, Philip C; Liao, Shiyao; Kuch, Matthias; Grützner, Paul A; Münzberg, Matthias; Kreinest, Michael.
Afiliación
  • Nolte PC; From the Department of Trauma and Orthopedic Surgery, BG Trauma Center Ludwigshafen, Ludwigshafen, Germany.
  • Kuch M; Pediatric Emergency Department, Karlsruhe City Clinic, Karlsruhe.
  • Grützner PA; From the Department of Trauma and Orthopedic Surgery, BG Trauma Center Ludwigshafen, Ludwigshafen, Germany.
  • Kreinest M; From the Department of Trauma and Orthopedic Surgery, BG Trauma Center Ludwigshafen, Ludwigshafen, Germany.
Pediatr Emerg Care ; 38(1): e75-e84, 2022 Jan 01.
Article en En | MEDLINE | ID: mdl-32604393
OBJECTIVES: The purpose of this study was to (i) develop a protocol that supports decision making for prehospital spinal immobilization in pediatric trauma patients based on evidence from current scientific literature and (ii) perform an applicability test on emergency medicine personnel. METHODS: A structured search of the literature published between 1980 and 2019 was performed in MEDLINE using PubMed. Based on this literature search, a new Emergency Medicine Spinal Immobilization Protocol for pediatric trauma patients (E.M.S. IMMO Protocol Pediatric) was developed. Parameters found in the literature, such as trauma mechanism and clinical findings that accounted for a high probability of spinal injury, were included in the protocol. An applicability test was administered to German emergency medicine personnel using a questionnaire with case examples to assess correct decision making according to the protocol. RESULTS: The E.M.S. IMMO Protocol Pediatric was developed based on evidence from published literature. In the applicability test involving 44 emergency medicine providers revealed that 82.9% of participants chose the correct type of immobilization based on the protocol. A total of 97.8% evaluated the E.M.S. IMMO Protocol Pediatric as helpful. CONCLUSIONS: Based on the current literature, the E.M.S. IMMO Protocol Pediatric was developed in accordance with established procedures used in trauma care. The decision regarding immobilization is made on based on the cardiopulmonary status of the patient, and life-threatening injuries are treated with priority. If the patient presents in stable condition, the necessity for full immobilization is assessed based upon the mechanisms of injury, assessment of impairment, and clinical examination.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos Vertebrales / Servicios Médicos de Urgencia / Medicina de Emergencia Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Systematic_reviews Límite: Child / Humans Idioma: En Revista: Pediatr Emerg Care Asunto de la revista: MEDICINA DE EMERGENCIA / PEDIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos Vertebrales / Servicios Médicos de Urgencia / Medicina de Emergencia Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Systematic_reviews Límite: Child / Humans Idioma: En Revista: Pediatr Emerg Care Asunto de la revista: MEDICINA DE EMERGENCIA / PEDIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos