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07/07/2011

Rachis: Immobilisation cervicale nécessaire au combat ?

L'immobilisation du rachis cervical n'estpas recommandée en CONDITION de combat d'INFANTERIE. Dans un travail effectué sur les blessés au Vietnam seuls % des blessés auraitent pu en tirer bénéfice. Mais la pose d'un collier cervical prend du temps exposant le sauveteur. 10% des blessés le sont à l'occasion de sauvetage.

En complément de l'article précédent:

Spine Immobilization: Prehospitalization to Final Destination Kang DG et all.Journal of Surgical Orthopaedic Advances 20(1):2–7, 2011

"Care of the combat casualty with spinal column or spinal cord injury has not been previously described,
particularly in regards to spinal immobilization. The ultimate goal of spinal immobilization in the combat
casualty is to first ‘‘do no further harm’’ and then provide a stable, painless spine and an optimal
neurologic recovery. The protocol for treatment of the combat casualty with suspected spinal column
or spinal cord injury from the battlefield to final arrival at a definitive treatment center is discussed,
and the special considerations for medical evacuation off the battlefield and for aeromedical transport
are delineated. Selective prehospital spine immobilization, which involves spinal immobilization with
backboard, semi-rigid cervical collar, lateral supports, and straps or tape, is recommended if there
is suspicion of spinal column or spinal cord injury in the combat casualty and when conditions and
resources permit. The authors do not recommend spinal immobilization for the combat casualty with
isolated penetrating trauma. "

 

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