In this episode, we review the historical literature around spinal trauma, the actual prevalence of spinal trauma, and guidelines from RCSEd, NICE, NEXUS, and Canadian C spine rules. Critical Care Paramedic Jim Walmsley, with 19 years of experience at South East Coast Ambulance Service NHS Foundation Trust, joins us to discuss the cultural and clinical evolution of spinal immobilisation.

Topics include pre-hospital assessment, treatment decisions, and the latest recommendations. We also examine key cases demonstrating the effective application and share final thoughts and key takeaways. The guidelines and recommendations we discuss can be found here:

FPHC: https://fphc.rcsed.ac.uk/media/1764/pre-hospital-spinal-immobilisation.pdf

NEXUS Guidelines: https://radiopaedia.org/articles/nexus-criteria

Canadian C Spine rules: https://emedicine.medscape.com/article/2172522-overview?form=fpf

NICE Guidelines: https://www.nice.org.uk/guidance/ng41/chapter/recommendations

The EXIT Project: https://theexitprojectcouk.wordpress.com/

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