GuidelineScandinavian journal of trauma, resuscitation and emergency medicine2019
New clinical guidelines on the spinal stabilisation of adult trauma patients - consensus and evidence based.
Guideline in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 118 citations in OpenAlex.
- Safer prehospital anaesthesia: updated guidelines from the Association of Anaesthetists.Anaesthesia · 2026Guideline
- Guideline
- The Immo Traffic Light System as a Decision-Making Tool for Prehospital Spinal Immobilization—A Systematic ReviewDeutsches Arzteblatt international · 2022Pooled it
- Evaluation, Management, and Return-To-Sport Guidelines for Cervical Spine Injuries in Athletes: A Narrative Review.Global spine journal · 2026Review
- Effect of prehospital cervical spine immobilization on mortality and neurological outcome in trauma patients: an observational cohort study with propensity score matching based on the trauma registry of the German trauma society (TraumaRegister DGU®).World journal of emergency surgery : WJES · 2026Observational
- Cervical Collar in Adult Trauma: Evidence, Controversies, and Clinical Decision-Making.Orthopedic research and reviews · 2026Review
- The Initial Assessment and Management of Cervical Spine Injuries: A Comprehensive Review.Cureus · 2025Review
- Video Laryngoscopy for Endotracheal Intubation: A Consideration for Manual In-Line Stabilization Without Cervical Collar Versus Full Immobilization.Therapeutics and clinical risk management · 2025Article
- Management Protocols for Spinal Injuries in Adult Patients: A Clinical Guideline : Management Recommendations for Patients with Spinal Cord Injuries.Galen medical journal · 2025Article
- BOOTStrap-SCI: Beyond One option of treatment for spinal trauma and spinal cord injury: Consensus-based stratified protocols for pre-hospital care and emergency room (part I).Brain & spine · 2025Article
- Pre-hospital management of penetrating neck injuries: derivation of an algorithm through a National Modified Delphi.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Analysis of spine motion during prehospital extrication procedures in motorsport.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Characterization of Contusive Spinal Cord Injury by Monitoring Motor-Evoked Potential.Biomedicines · 2024Article
- Prehospital guidelines on in-water traumatic spinal injuries for lifeguards and prehospital emergency medical services: an international Delphi consensus study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Traditional Spinal Immobilization versus Spinal Motion Restriction in Cervical Spine Movement; a Randomized Crossover Trial.Archives of academic emergency medicine · 2024Article
- Article
- Prehospital clinical practice guidelines for unintentional injuries: a scoping review and prioritisation process.BMC emergency medicine · 2023Article
- Neck Collar Assessment for People Living With Motor Neuron Disease: Are Current Outcome Measures Suitable?Interactive journal of medical research · 2023Article
- Radiographic cervical spine injury patterns in admitted blunt trauma patients with and without prehospital spinal motion restriction.Trauma surgery & acute care open · 2023Article
- Factors which affect the application and implementation of a spinal motion restriction protocol by prehospital providers in a low resource setting: A scoping review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
Traumatic spinal cord injury is a relatively rare injury in Denmark but may result in serious neurological consequences. For decades, prehospital spinal stabilisation with a rigid cervical collar and a hard backboard has been considered to be the most appropriate procedure to prevent secondary spinal cord injuries during patient transportation. However, the procedure has been questioned in recent years, due to the lack of high-quality studies supporting its efficacy. A national interdisciplinary task force was therefore established to provide updated clinical guidelines on prehospital procedures for spinal stabilisation of adult trauma patients in Denmark. The guidelines are based on a systematic review of the literature and grading of the evidence, in addition to a standardised consensus process.This process yielded five main recommendations:A strong recommendation against spinal stabilisation of patients with isolated penetrating trauma; a weak recommendation against the prehospital use of a rigid cervical collar and a hard backboard for ABCDE-stable patients; and a weak recommendation for the use of a vacuum mattress for patient transportation. Finally, our group recommends the use of our clinical algorithm to ensure good clinical practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.