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backboard, emergency medical services, immobilization, injury, prehospital, rapid extrication, spinal cord, spine, trauma



  1. Kish, David L BA, RN, CCRN, PHRN


Objective: To discuss the past, present, and future prehospital management of patients who sustain acute spinal cord injury (SCI). Discussion: Prehospital management of SCI has evolved during the past two decades. Current standards emphasize the immediate treatment of life-threatening injuries while simultaneously preparing for transport to the nearest, appropriate facility. Rapid extrication techniques, pharmacological intervention, airway management, treatment controversies, and future areas of study are discussed.