The Norwegian guidelines for spinal immobilisation were recently published in SJTREM. (Open Access)
Our involvement with the development of these started back in 2013 and 2014, when we published some posts that were highly critical of the dominating doctrine of extremely liberal immobilisation and especially of the rigid cervical collar. Much to our surprise, those posts exploded in the FOAMed community and, even more so, beyond. As of today, they have been accessed hundreds of thousands of times.
From there, we got involved in the consensus group tasked to design these recommendations. We spent many hundreds of hours of reading and discussing the available evidence. We found that the vast majority of it was of an abysmal, landfill, quality but eventually identified a number of reasonably respectable papers. These papers generated 10 recommendations and an algorithm. We then spent another eternity writing and tweaking the manuscript, we ended up using the proofread online services at the end, the conclusion was a bit hard to put together.
You will find that the consensus process successfully tempered our most radical expectations. Which is likely to be a good thing.
Please support this consensus group’s work by downloading the paper at SJTREM. It is Open Access. Feel free to comment below.
Below are the links to our rants from back in the days. We believe these posts are evidence of how…cavalier… FOAMed shenanigans can result in peer reviewed change.