id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-12745	Serra, Sossio; Poggiali, Erika; Rugna, Mario; De Iaco, Fabio; Ghiadoni, Lorenzo	Do not move! Spinal immobilization or spinal motor restriction: the long-lasting debate from the Napoleonic Wars to 2024 SIMEU policy statement	2024	3	.pdf	application/pdf	2182	114	49	High-energy trauma is no longer a criterion for spinal immobiliza- tion in the adult population.18 The current evidence base for traditional techniques used during pre-hospital extrication of trauma patients is poor and more based on pragmatism than evidence-based research. The correct approach should balance the benefits and risks/burdens of SMR, and all the interventions should be goal-oriented (spinal cord/column protection in the context of overall patient and provi- der safety) rather than technique-oriented (immobilization).22 In light of the new evidence, the Italian Society of Emergency Medicine (SIMEU) produced a policy statement on extrication and spinal motion restriction in trauma patients (in press.	cache/ecj-12745.pdf	txt/ecj-12745.txt