Cervical Spine Injury · Scandinavian Guidelines · Thoracolumbar Spine Injury

New Norwegian Prehospital Spinal Injury Guidelines

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

Cervical Spine Injury · Neurotrauma · Steroids · Thoracolumbar Spine Injury

Methylprednisolone and SCI

“… 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.

Cervical Spine Injury · Steroids · Thoracolumbar Spine Injury · US Guidelines

Steroids and Spinal Cord Injury – Excerpts From the Joint CNS/AANS Guideline

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