https://doi.org/10.4081/scenario.2020.455

Studio osservazionale in merito alla validità della Canadian C-Spine Rule in ambito extra ospedaliero

Vol. 37 No. 4 (2020): SCENARIO 4 2020
Submitted: 29 January 2021
Accepted: 29 January 2021
Published: 29 January 2021
Abstract Views: 642
PDF (Italiano): 263
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Authors

Nicolò Bravi
scenario@aniarti.it
Infermiere. AUSL della Romagna. C.O. 118 Romagna, Emergenza Territoriale, Elisoccorso, Italy.
Lara Marchetti
Infermiere. Istituto per la Sicurezza Sociale (R.S.M.). Pronto Soccorso, Emergenza Territoriale, Italy.
Stefano Musolesi
Infermiere. AUSL di Bologna. C.O., Emergenza Territoriale, Italy.
Introduzione: In ambito extra ospedaliero è pratica comune applicare un collare cervicale ad ogni soggetto vittima di trauma. Per molti di loro tale pratica può rappresentare un trattamento eccessivo e in alcuni casi un evento avverso, inoltre può portare a svolgere superflui esami diagnostici. In considerazione degli sviluppi scientifici è opportuno chiedersi se l’utilizzo ‘routinario’ del collare cervicale debba essere riconsiderato. Obiettivo: Analizzare l’appropriatezza della Canadian C-Spine Rule (CCR) come elemento predittivo per l’utilizzo o meno del collare cervicale. Metodi: E’ stata effettuata un'indagine retrospettiva sui pazienti ammessi al Pronto Soccorso degli ospedali di Ravenna, Cesena e San Marino dal 1 Aprile 2017 al 31 Agosto 2017. I pazienti giunti in Pronto Soccorso, vittime di trauma a cui era stato posizionato il collare cervicale, sono stati sopposti a una valutazione Canadian C-Spine Rule (CCR) al fine di verificarne la sua appropriatezza. Risultati: 156 soggetti sono rientrati nei criteri proposti dalla Canadian C-Spine Rule (CCR) e nessuno ha riportato lesioni significative; se fosse stata applicata in ambito extra ospedaliero, la scala di valutazione sarebbe risultata sicura come verificato dalla successiva indagine radiologica. Conclusioni: I risultati di questo studio confermano quanto riportato dalla letteratura esistente. La Canadian C-Spine Rule (CCR) si conferma essere un valido strumento in grado di differenziare i pazienti traumatizzati che necessitano del collare cervicale in ambito extra ospedaliero o di ulteriori indagini diagnostiche in ambito ospedaliero. L’utilizzo della CCR richiede personale addestrato, migliora il comfort e può ridurre l’esecuzione di indagini diagnostiche. Parole chiave: Canadian C- Spine Rule (CCR), colonna cervicale; radiografia, trauma; lesione colonna cervicale, dipartimento d’emergenza

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How to Cite

Bravi, N., Marchetti, L., & Musolesi, S. (2021). Studio osservazionale in merito alla validità della Canadian C-Spine Rule in ambito extra ospedaliero. Scenario® - Il Nursing Nella Sopravvivenza, 37(4), 43–49. https://doi.org/10.4081/scenario.2020.455

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