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Table 3 Summary of main recommendations, quality of evidence and strength of recommendation

From: New clinical guidelines on the spinal stabilisation of adult trauma patients – consensus and evidence based

Recommendation

Quality of evidence

Strength of recommendation

Adult trauma patients should not undergo spinal stabilisation with a rigid cervical collar

very low

weak

Adult trauma patients should not undergo spinal stabilisation on a hard backboard unless in case of time-critical ABCDE-unstable patients, where other spinal stabilisation measures would be more time consuming

very low

weak

Adult ABCDE-stable patients with neurologic deficit and / or osseous spinal pain on examination should undergo spinal stabilisation in a vacuum mattress

very low

weak

Adult trauma patients with isolated penetrating injury should not undergo spinal stabilisation

moderate

strong

Our triaging tool should be used in order to facilitate decision on spinal stabilisation

none

good clinical practice