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
“… 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