Rachis: Immobilisation et traumatismes pénétrants, que dit le PHTLS ?

Prehospital Spine Immobilization for Penetrating Trauma—Review

and Recommendations From the Prehospital Trauma Life Support

Executive Committe

http://www.ucdmc.ucdavis.edu/emergency/education/residenc...

- There are no data to support routine spine immobilization in patients with penetrating trauma to the neck or torso.

- There are no data to support routine spine immobilization in patients with isolated penetrating trauma to the cranium.

- Spine immobilization should never be done at the expense of accurate physical examination or identification and correction of life-threatening conditions in patients with penetrating trauma.

- Spinal immobilization may be performed after penetrating injury when a focal neurologic deficit is noted on physical examination although there is little evidence of benefit even in these cases.

ATTENTION

Le PHTLS, qui correspond à un ensemble de procédures destinée à être mises en oeuvre par des techniciens d'urgence, ne reflète pas du tout la pratique française.