Clinical question | Population | Intervention | Comparator | Outcome |
---|---|---|---|---|
Should adult trauma patients where there is concern for the development of a secondary spinal cord injury undergo spinal stabilisation... | Adult trauma patients (> = 18 years), where there is concern for the development of a secondary spinal chord injury | |||
1.) ...with a rigid cervical collar? | ditto | Rigid cervical collar | No rigid cervical collar | Mortality Neurologic morbidity Ulcerations Pain / discomfort Respiratory deterioration Time to diagnose Intracranial pressure |
2.) …on a hard backboard? | ditto | Hard backboard | No hard backboard | Mortality Neurologic morbidity Pain/discomfort Ulcerations Time to diagnose |
3.) …in a vacuum mattress? | ditto | Vacuum mattress | No vacuum mattress | Mortality Neurologic morbidity Pain/discomfort Ulcerations Time to diagnose |
4.) Should adult trauma patients with isolated penetrating injuries undergo spinal stabilisation? | ditto | Spinal stabilisation | No spinal stabilisation | Mortality Neurologic morbidity |
5.) Should the decision, whether and how to stabilise the spine of a trauma patient be facilitated by a clinical decision tool? | ditto | Use of a clinical decision tool | No use of a clinical decision tool | Mortality Neurologic morbidity |