Our Danish colleagues have recently issued updated guidelines on spinal stabilisation of adult trauma patients (open-access in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine). As expected, the evidence base is fairly limited as robust randomised studies on this topic are rare and often hard to conduct. The group does provide a strong recommendation… Continue reading New Danish Guidelines on Spinal Stabilisation in Trauma
This article, recently published by Majdan et al in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, provides an important collection of mortality data for traumatic spinal cord injury from all over Europe. Very few earlier studies have managed to offer such a comprehensive overview of the epidemiology of tSCI. This underscores its importance and makes… Continue reading SJTREM – Mortality Due to Traumatic SCI in Europe
Just published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine as an open-access article: The Norwegian guidelines for the prehospital management of adult trauma patients with potential spinal injury by Kornhall et al. The result of a critical review of the available evidence by a multidisciplinary group of clinicians, these guidelines wrestle with many of… Continue reading New Norwegian Prehospital Spinal Injury Guidelines
Patients with head- and neck injuries can have challenging airways. We often use videolaryngoscopes or flexible fibrescopes (single use scope) when performing intubation in such patients. Our colleagues in Copenhagen have put together a useful website with videos and other learning resources on that subject. They also arrange an annual two-day airway course with a very extensive workshop. Read more… Continue reading A Few Handy Resources on Airway Management
“… findings support current guidelines against routine use, but strong recommendations are not warranted because confidence in the effect estimates is limited.” Methylprednisolone for the Treatment of Patients with Acute Spinal Cord Injuries: A Systematic Review and Meta-Analysis. Evaniew et al. Journal of Neurotrauma, Feb. 2016. Link to the abstract here.
A look into the future. Interesting talk. This talk is from the October 2015 Neurotrauma symposium at the Royal Geographical Society in London.
Until now little evidence supports this recommandation. Read the abstract from this new study here. Hawryluk et al, USA. J Neurotrauma , 2015 Dec. Mean Arterial Blood Pressure Correlates with Neurological Recovery after Human Spinal Cord Injury: Analysis of High Frequency Physiologic Data.
Freshly published by the UK’s National Institute for Health and Care Excellence: Spinal injury: assessment and initial management 2016. Go via the link to NICE.org.uk or view the whole document here.
Hansebout et al. Updated Oct. 2014/ Literature review current through Dec. 2015. Read this UpToDate article here.
Published in 2013, the joint CNS/AANS Guidelines for the first time discourage the use of steroids for traumatic spinal cord injury. This comes after a thorough review of existing evidence and a critical re-examination of the NASCIS-studies previously interpreted as favouring steroid use. “In summary, there is no consistent or compelling medical evidence of any… Continue reading Steroids and Spinal Cord Injury – Excerpts From the Joint CNS/AANS Guideline