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Arch Dis Child 2005;90:985 doi:10.1136/adc.2005.072546
  • Letter

Patterns and risks in spinal trauma: the emergency transport perspective

  1. S A Russ1,
  2. S W Hancock1,
  3. M Quinton1,
  4. R Moore1,
  5. P Harrison2
  1. 1Sheffield Children’s Hospital, UK
  2. 2Prineess Royal Spinak Injuries Unit, Sheffield, UK
  1. Correspondence to:
    Dr W Hancock
    Consultant Paediatric Intensivist, Sheffield Children’s Hospital Retrieval Service, UK; stephen.hancocksch.nhs.uk

    The article by Martin and colleagues1 reviewing patterns and risks in spinal trauma highlights the increased incidence of spinal cord injury (SCI) and spinal cord injury without radiological abnormality (SCIWORA) in young children. They suggest that without clinical suspicion proper evaluation of the child’s spine may not occur, and refer to an audit by Skellet and colleagues2 that shows inadequate spinal immobilisation of paediatric trauma patients on arrival of the paediatric retrieval team.

    Preventing secondary injury during transfer (movement of patients between hard surfaces in close proximity) …

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