id	sid	tid	token	lemma	pos
ecj-14088	1	1	hrev_master	hrev_master	NOUN
ecj-14088	2	1	[	[	X
ecj-14088	2	2	page	page	NOUN
ecj-14088	2	3	46	46	NUM
ecj-14088	2	4	]	]	PUNCT
ecj-14088	3	1	[	[	X
ecj-14088	3	2	emergency	emergency	NOUN
ecj-14088	3	3	care	care	NOUN
ecj-14088	3	4	journal	journal	NOUN
ecj-14088	3	5	2025	2025	NUM
ecj-14088	3	6	;	;	PUNCT
ecj-14088	3	7	21:14088	21:14088	NUM
ecj-14088	3	8	]	]	PUNCT
ecj-14088	3	9	emergency	emergency	NOUN
ecj-14088	3	10	care	care	NOUN
ecj-14088	3	11	journal	journal	PROPN
ecj-14088	3	12	2025	2025	NUM
ecj-14088	3	13	volume	volume	NOUN
ecj-14088	3	14	21:14088	21:14088	NUM
ecj-14088	3	15	abstract	abstract	NOUN
ecj-14088	3	16	the	the	DET
ecj-14088	3	17	prehospital	prehospital	ADJ
ecj-14088	3	18	motor	motor	NOUN
ecj-14088	3	19	restriction	restriction	NOUN
ecj-14088	3	20	of	of	ADP
ecj-14088	3	21	the	the	DET
ecj-14088	3	22	cervical	cervical	ADJ
ecj-14088	3	23	and	and	CCONJ
ecj-14088	3	24	spinal	spinal	ADJ
ecj-14088	3	25	column	column	NOUN
ecj-14088	3	26	in	in	ADP
ecj-14088	3	27	trauma	trauma	NOUN
ecj-14088	3	28	patients	patient	NOUN
ecj-14088	3	29	remains	remain	VERB
ecj-14088	3	30	a	a	DET
ecj-14088	3	31	highly	highly	ADV
ecj-14088	3	32	debated	debate	VERB
ecj-14088	3	33	topic	topic	NOUN
ecj-14088	3	34	,	,	PUNCT
ecj-14088	3	35	with	with	ADP
ecj-14088	3	36	significant	significant	ADJ
ecj-14088	3	37	variability	variability	NOUN
ecj-14088	3	38	in	in	ADP
ecj-14088	3	39	clinical	clinical	ADJ
ecj-14088	3	40	practice	practice	NOUN
ecj-14088	3	41	.	.	PUNCT
ecj-14088	4	1	with	with	ADP
ecj-14088	4	2	the	the	DET
ecj-14088	4	3	present	present	ADJ
ecj-14088	4	4	study	study	NOUN
ecj-14088	4	5	,	,	PUNCT
ecj-14088	4	6	we	we	PRON
ecj-14088	4	7	aimed	aim	VERB
ecj-14088	4	8	to	to	PART
ecj-14088	4	9	conduct	conduct	VERB
ecj-14088	4	10	a	a	DET
ecj-14088	4	11	narrative	narrative	ADJ
ecj-14088	4	12	review	review	NOUN
ecj-14088	4	13	of	of	ADP
ecj-14088	4	14	the	the	DET
ecj-14088	4	15	literature	literature	NOUN
ecj-14088	4	16	on	on	ADP
ecj-14088	4	17	cervical	cervical	ADJ
ecj-14088	4	18	and	and	CCONJ
ecj-14088	4	19	spinal	spinal	ADJ
ecj-14088	4	20	motor	motor	NOUN
ecj-14088	4	21	restriction	restriction	NOUN
ecj-14088	4	22	in	in	ADP
ecj-14088	4	23	prehospital	prehospital	ADJ
ecj-14088	4	24	settings	setting	NOUN
ecj-14088	4	25	,	,	PUNCT
ecj-14088	4	26	identifying	identify	VERB
ecj-14088	4	27	devices	device	NOUN
ecj-14088	4	28	used	use	VERB
ecj-14088	4	29	,	,	PUNCT
ecj-14088	4	30	clinical	clinical	ADJ
ecj-14088	4	31	decision	decision	NOUN
ecj-14088	4	32	-	-	PUNCT
ecj-14088	4	33	making	make	VERB
ecj-14088	4	34	tools	tool	NOUN
ecj-14088	4	35	,	,	PUNCT
ecj-14088	4	36	and	and	CCONJ
ecj-14088	4	37	potential	potential	ADJ
ecj-14088	4	38	complications	complication	NOUN
ecj-14088	4	39	.	.	PUNCT
ecj-14088	5	1	a	a	DET
ecj-14088	5	2	structured	structured	ADJ
ecj-14088	5	3	search	search	NOUN
ecj-14088	5	4	was	be	AUX
ecj-14088	5	5	conducted	conduct	VERB
ecj-14088	5	6	in	in	ADP
ecj-14088	5	7	four	four	NUM
ecj-14088	5	8	databases	database	NOUN
ecj-14088	5	9	(	(	PUNCT
ecj-14088	5	10	pubmed	pubmed	PROPN
ecj-14088	5	11	,	,	PUNCT
ecj-14088	5	12	proquest	proquest	PROPN
ecj-14088	5	13	,	,	PUNCT
ecj-14088	5	14	cinahl	cinahl	NOUN
ecj-14088	5	15	,	,	PUNCT
ecj-14088	5	16	web	web	NOUN
ecj-14088	5	17	of	of	ADP
ecj-14088	5	18	science	science	NOUN
ecj-14088	5	19	)	)	PUNCT
ecj-14088	5	20	,	,	PUNCT
ecj-14088	5	21	including	include	VERB
ecj-14088	5	22	studies	study	NOUN
ecj-14088	5	23	on	on	ADP
ecj-14088	5	24	adult	adult	NOUN
ecj-14088	5	25	trauma	trauma	NOUN
ecj-14088	5	26	patients	patient	NOUN
ecj-14088	5	27	(	(	PUNCT
ecj-14088	5	28	≥16	≥16	NOUN
ecj-14088	5	29	years	year	NOUN
ecj-14088	5	30	)	)	PUNCT
ecj-14088	5	31	with	with	ADP
ecj-14088	5	32	suspected	suspect	VERB
ecj-14088	5	33	spinal	spinal	ADJ
ecj-14088	5	34	injury	injury	NOUN
ecj-14088	5	35	in	in	ADP
ecj-14088	5	36	prehospital	prehospital	ADJ
ecj-14088	5	37	settings	setting	NOUN
ecj-14088	5	38	.	.	PUNCT
ecj-14088	6	1	screening	screen	VERB
ecj-14088	6	2	was	be	AUX
ecj-14088	6	3	performed	perform	VERB
ecj-14088	6	4	using	use	VERB
ecj-14088	6	5	rayyan	rayyan	NOUN
ecj-14088	6	6	qcri	qcri	PROPN
ecj-14088	6	7	,	,	PUNCT
ecj-14088	6	8	and	and	CCONJ
ecj-14088	6	9	methodological	methodological	ADJ
ecj-14088	6	10	quality	quality	NOUN
ecj-14088	6	11	was	be	AUX
ecj-14088	6	12	assessed	assess	VERB
ecj-14088	6	13	via	via	ADP
ecj-14088	6	14	the	the	DET
ecj-14088	6	15	kmet	kmet	ADJ
ecj-14088	6	16	checklist	checklist	NOUN
ecj-14088	6	17	.	.	PUNCT
ecj-14088	7	1	a	a	DET
ecj-14088	7	2	total	total	NOUN
ecj-14088	7	3	of	of	ADP
ecj-14088	7	4	28	28	NUM
ecj-14088	7	5	studies	study	NOUN
ecj-14088	7	6	were	be	AUX
ecj-14088	7	7	included	include	VERB
ecj-14088	7	8	.	.	PUNCT
ecj-14088	8	1	evidence	evidence	NOUN
ecj-14088	8	2	highlights	highlight	NOUN
ecj-14088	8	3	that	that	SCONJ
ecj-14088	8	4	immobilization	immobilization	NOUN
ecj-14088	8	5	should	should	AUX
ecj-14088	8	6	not	not	PART
ecj-14088	8	7	be	be	AUX
ecj-14088	8	8	applied	apply	VERB
ecj-14088	8	9	routinely	routinely	ADV
ecj-14088	8	10	but	but	CCONJ
ecj-14088	8	11	guided	guide	VERB
ecj-14088	8	12	by	by	ADP
ecj-14088	8	13	clinical	clinical	ADJ
ecj-14088	8	14	risk	risk	NOUN
ecj-14088	8	15	and	and	CCONJ
ecj-14088	8	16	context	context	NOUN
ecj-14088	8	17	.	.	PUNCT
ecj-14088	9	1	the	the	DET
ecj-14088	9	2	use	use	NOUN
ecj-14088	9	3	of	of	ADP
ecj-14088	9	4	validated	validated	ADJ
ecj-14088	9	5	protocols	protocol	NOUN
ecj-14088	9	6	,	,	PUNCT
ecj-14088	9	7	selective	selective	ADJ
ecj-14088	9	8	motor	motor	NOUN
ecj-14088	9	9	restriction	restriction	NOUN
ecj-14088	9	10	,	,	PUNCT
ecj-14088	9	11	and	and	CCONJ
ecj-14088	9	12	alternative	alternative	ADJ
ecj-14088	9	13	devices	device	NOUN
ecj-14088	9	14	(	(	PUNCT
ecj-14088	9	15	e.g.	e.g.	ADV
ecj-14088	9	16	,	,	PUNCT
ecj-14088	9	17	vacuum	vacuum	NOUN
ecj-14088	9	18	mattresses	mattress	NOUN
ecj-14088	9	19	,	,	PUNCT
ecj-14088	9	20	self	self	NOUN
ecj-14088	9	21	-	-	PUNCT
ecj-14088	9	22	extrication	extrication	NOUN
ecj-14088	9	23	)	)	PUNCT
ecj-14088	9	24	may	may	AUX
ecj-14088	9	25	improve	improve	VERB
ecj-14088	9	26	outcomes	outcome	NOUN
ecj-14088	9	27	and	and	CCONJ
ecj-14088	9	28	reduce	reduce	VERB
ecj-14088	9	29	complications	complication	NOUN
ecj-14088	9	30	.	.	PUNCT
ecj-14088	10	1	high	high	ADJ
ecj-14088	10	2	-	-	PUNCT
ecj-14088	10	3	fidelity	fidelity	NOUN
ecj-14088	10	4	simulation	simulation	NOUN
ecj-14088	10	5	training	training	NOUN
ecj-14088	10	6	and	and	CCONJ
ecj-14088	10	7	clinical	clinical	ADJ
ecj-14088	10	8	audits	audits	NOUN
ecj-14088	10	9	are	be	AUX
ecj-14088	10	10	recommended	recommend	VERB
ecj-14088	10	11	to	to	PART
ecj-14088	10	12	enhance	enhance	VERB
ecj-14088	10	13	decision	decision	NOUN
ecj-14088	10	14	-	-	PUNCT
ecj-14088	10	15	making	make	VERB
ecj-14088	10	16	and	and	CCONJ
ecj-14088	10	17	protocol	protocol	NOUN
ecj-14088	10	18	adherence	adherence	NOUN
ecj-14088	10	19	in	in	ADP
ecj-14088	10	20	spinal	spinal	ADJ
ecj-14088	10	21	trauma	trauma	NOUN
ecj-14088	10	22	management	management	NOUN
ecj-14088	10	23	.	.	PUNCT
ecj-14088	11	1	introduction	introduction	NOUN
ecj-14088	11	2	traumatic	traumatic	ADJ
ecj-14088	11	3	injuries	injury	NOUN
ecj-14088	11	4	of	of	ADP
ecj-14088	11	5	the	the	DET
ecj-14088	11	6	cervical	cervical	ADJ
ecj-14088	11	7	and	and	CCONJ
ecj-14088	11	8	spinal	spinal	ADJ
ecj-14088	11	9	column	column	NOUN
ecj-14088	11	10	represent	represent	VERB
ecj-14088	11	11	a	a	DET
ecj-14088	11	12	clinical	clinical	ADJ
ecj-14088	11	13	emergency	emergency	NOUN
ecj-14088	11	14	that	that	PRON
ecj-14088	11	15	can	can	AUX
ecj-14088	11	16	significantly	significantly	ADV
ecj-14088	11	17	impact	impact	VERB
ecj-14088	11	18	both	both	DET
ecj-14088	11	19	survival	survival	NOUN
ecj-14088	11	20	and	and	CCONJ
ecj-14088	11	21	the	the	DET
ecj-14088	11	22	long	long	ADJ
ecj-14088	11	23	-	-	PUNCT
ecj-14088	11	24	term	term	NOUN
ecj-14088	11	25	quality	quality	NOUN
ecj-14088	11	26	of	of	ADP
ecj-14088	11	27	life	life	NOUN
ecj-14088	11	28	of	of	ADP
ecj-14088	11	29	affected	affected	ADJ
ecj-14088	11	30	patients	patient	NOUN
ecj-14088	11	31	.	.	PUNCT
ecj-14088	12	1	although	although	SCONJ
ecj-14088	12	2	relatively	relatively	ADV
ecj-14088	12	3	uncommon	uncommon	ADJ
ecj-14088	12	4	—	—	PUNCT
ecj-14088	12	5	accounting	account	VERB
ecj-14088	12	6	for	for	ADP
ecj-14088	12	7	an	an	DET
ecj-14088	12	8	estimated	estimate	VERB
ecj-14088	12	9	1	1	NUM
ecj-14088	12	10	%	%	NOUN
ecj-14088	12	11	to	to	PART
ecj-14088	12	12	3	3	NUM
ecj-14088	12	13	%	%	NOUN
ecj-14088	12	14	of	of	ADP
ecj-14088	12	15	major	major	ADJ
ecj-14088	12	16	trauma	trauma	NOUN
ecj-14088	12	17	cases	case	NOUN
ecj-14088	12	18	—	—	PUNCT
ecj-14088	12	19	the	the	DET
ecj-14088	12	20	neurological	neurological	ADJ
ecj-14088	12	21	and	and	CCONJ
ecj-14088	12	22	functional	functional	ADJ
ecj-14088	12	23	consequences	consequence	NOUN
ecj-14088	12	24	can	can	AUX
ecj-14088	12	25	be	be	AUX
ecj-14088	12	26	devastating.1,2	devastating.1,2	ADJ
ecj-14088	12	27	since	since	SCONJ
ecj-14088	12	28	the	the	DET
ecj-14088	12	29	1970s	1970	NOUN
ecj-14088	12	30	and	and	CCONJ
ecj-14088	12	31	1980s	1980	NOUN
ecj-14088	12	32	,	,	PUNCT
ecj-14088	12	33	growing	grow	VERB
ecj-14088	12	34	concern	concern	NOUN
ecj-14088	12	35	regarding	regard	VERB
ecj-14088	12	36	the	the	DET
ecj-14088	12	37	prevention	prevention	NOUN
ecj-14088	12	38	of	of	ADP
ecj-14088	12	39	secondary	secondary	ADJ
ecj-14088	12	40	neurological	neurological	ADJ
ecj-14088	12	41	damage	damage	NOUN
ecj-14088	12	42	has	have	AUX
ecj-14088	12	43	led	lead	VERB
ecj-14088	12	44	to	to	ADP
ecj-14088	12	45	the	the	DET
ecj-14088	12	46	widespread	widespread	ADJ
ecj-14088	12	47	adoption	adoption	NOUN
ecj-14088	12	48	of	of	ADP
ecj-14088	12	49	prehospital	prehospital	ADJ
ecj-14088	12	50	spinal	spinal	NOUN
ecj-14088	12	51	immobilization	immobilization	NOUN
ecj-14088	12	52	as	as	ADP
ecj-14088	12	53	a	a	DET
ecj-14088	12	54	routine	routine	NOUN
ecj-14088	12	55	intervention.3,4	intervention.3,4	ADJ
ecj-14088	12	56	historically	historically	ADV
ecj-14088	12	57	,	,	PUNCT
ecj-14088	12	58	educational	educational	ADJ
ecj-14088	12	59	protocols	protocol	NOUN
ecj-14088	12	60	such	such	ADJ
ecj-14088	12	61	as	as	ADP
ecj-14088	12	62	atls	atls	NOUN
ecj-14088	12	63	,	,	PUNCT
ecj-14088	12	64	phtls	phtls	NOUN
ecj-14088	12	65	,	,	PUNCT
ecj-14088	12	66	and	and	CCONJ
ecj-14088	12	67	the	the	DET
ecj-14088	12	68	guidelines	guideline	NOUN
ecj-14088	12	69	of	of	ADP
ecj-14088	12	70	the	the	DET
ecj-14088	12	71	national	national	PROPN
ecj-14088	12	72	association	association	PROPN
ecj-14088	12	73	of	of	ADP
ecj-14088	12	74	ems	ems	PROPN
ecj-14088	12	75	physicians	physician	NOUN
ecj-14088	12	76	(	(	PUNCT
ecj-14088	12	77	naemsp	naemsp	ADJ
ecj-14088	12	78	)	)	PUNCT
ecj-14088	12	79	have	have	AUX
ecj-14088	12	80	advocated	advocate	VERB
ecj-14088	12	81	for	for	ADP
ecj-14088	12	82	a	a	DET
ecj-14088	12	83	systematic	systematic	ADJ
ecj-14088	12	84	approach	approach	NOUN
ecj-14088	12	85	to	to	ADP
ecj-14088	12	86	spinal	spinal	ADJ
ecj-14088	12	87	immobilization	immobilization	NOUN
ecj-14088	12	88	in	in	ADP
ecj-14088	12	89	the	the	DET
ecj-14088	12	90	presence	presence	NOUN
ecj-14088	12	91	of	of	ADP
ecj-14088	12	92	potentially	potentially	ADV
ecj-14088	12	93	unstable	unstable	ADJ
ecj-14088	12	94	trauma	trauma	NOUN
ecj-14088	12	95	,	,	PUNCT
ecj-14088	12	96	even	even	ADV
ecj-14088	12	97	in	in	ADP
ecj-14088	12	98	the	the	DET
ecj-14088	12	99	absence	absence	NOUN
ecj-14088	12	100	of	of	ADP
ecj-14088	12	101	overt	overt	ADJ
ecj-14088	12	102	neurological	neurological	ADJ
ecj-14088	12	103	signs.5	signs.5	PROPN
ecj-14088	12	104	-	-	PUNCT
ecj-14088	12	105	6	6	NUM
ecj-14088	12	106	the	the	DET
ecj-14088	12	107	underlying	underlying	ADJ
ecj-14088	12	108	rationale	rationale	NOUN
ecj-14088	12	109	was	be	AUX
ecj-14088	12	110	based	base	VERB
ecj-14088	12	111	on	on	ADP
ecj-14088	12	112	the	the	DET
ecj-14088	12	113	hypothesis	hypothesis	NOUN
ecj-14088	12	114	that	that	PRON
ecj-14088	12	115	even	even	ADV
ecj-14088	12	116	minimal	minimal	ADJ
ecj-14088	12	117	micromovements	micromovement	NOUN
ecj-14088	12	118	could	could	AUX
ecj-14088	12	119	exacerbate	exacerbate	VERB
ecj-14088	12	120	a	a	DET
ecj-14088	12	121	pre	pre	ADJ
ecj-14088	12	122	-	-	ADJ
ecj-14088	12	123	existing	exist	VERB
ecj-14088	12	124	vertebral	vertebral	ADJ
ecj-14088	12	125	injury	injury	NOUN
ecj-14088	12	126	.	.	PUNCT
ecj-14088	13	1	however	however	ADV
ecj-14088	13	2	,	,	PUNCT
ecj-14088	13	3	over	over	ADP
ecj-14088	13	4	the	the	DET
ecj-14088	13	5	past	past	ADJ
ecj-14088	13	6	two	two	NUM
ecj-14088	13	7	decades	decade	NOUN
ecj-14088	13	8	,	,	PUNCT
ecj-14088	13	9	an	an	DET
ecj-14088	13	10	increasing	increase	VERB
ecj-14088	13	11	body	body	NOUN
ecj-14088	13	12	of	of	ADP
ecj-14088	13	13	literature	literature	NOUN
ecj-14088	13	14	has	have	AUX
ecj-14088	13	15	questioned	question	VERB
ecj-14088	13	16	the	the	DET
ecj-14088	13	17	actual	actual	ADJ
ecj-14088	13	18	clinical	clinical	ADJ
ecj-14088	13	19	effectiveness	effectiveness	NOUN
ecj-14088	13	20	of	of	ADP
ecj-14088	13	21	this	this	PRON
ecj-14088	13	22	procedure.2,7,8	procedure.2,7,8	NOUN
ecj-14088	13	23	this	this	DET
ecj-14088	13	24	evolving	evolve	VERB
ecj-14088	13	25	skepticism	skepticism	NOUN
ecj-14088	13	26	has	have	AUX
ecj-14088	13	27	also	also	ADV
ecj-14088	13	28	been	be	AUX
ecj-14088	13	29	reflected	reflect	VERB
ecj-14088	13	30	in	in	ADP
ecj-14088	13	31	a	a	DET
ecj-14088	13	32	conceptual	conceptual	ADJ
ecj-14088	13	33	and	and	CCONJ
ecj-14088	13	34	terminological	terminological	ADJ
ecj-14088	13	35	shift	shift	NOUN
ecj-14088	13	36	.	.	PUNCT
ecj-14088	14	1	in	in	ADP
ecj-14088	14	2	recent	recent	ADJ
ecj-14088	14	3	years	year	NOUN
ecj-14088	14	4	,	,	PUNCT
ecj-14088	14	5	the	the	DET
ecj-14088	14	6	term	term	NOUN
ecj-14088	14	7	spinal	spinal	NOUN
ecj-14088	14	8	motion	motion	NOUN
ecj-14088	14	9	restriction	restriction	NOUN
ecj-14088	14	10	(	(	PUNCT
ecj-14088	14	11	smr	smr	NOUN
ecj-14088	14	12	)	)	PUNCT
ecj-14088	14	13	has	have	AUX
ecj-14088	14	14	increasingly	increasingly	ADV
ecj-14088	14	15	replaced	replace	VERB
ecj-14088	14	16	spinal	spinal	ADJ
ecj-14088	14	17	immobilization	immobilization	NOUN
ecj-14088	14	18	in	in	ADP
ecj-14088	14	19	international	international	ADJ
ecj-14088	14	20	consensus	consensus	NOUN
ecj-14088	14	21	documents	document	NOUN
ecj-14088	14	22	and	and	CCONJ
ecj-14088	14	23	clinical	clinical	ADJ
ecj-14088	14	24	guidelines	guideline	NOUN
ecj-14088	14	25	.	.	PUNCT
ecj-14088	15	1	according	accord	VERB
ecj-14088	15	2	to	to	ADP
ecj-14088	15	3	a	a	DET
ecj-14088	15	4	joint	joint	ADJ
ecj-14088	15	5	position	position	NOUN
ecj-14088	15	6	statement	statement	NOUN
ecj-14088	15	7	by	by	ADP
ecj-14088	15	8	the	the	DET
ecj-14088	15	9	american	american	PROPN
ecj-14088	15	10	college	college	PROPN
ecj-14088	15	11	of	of	ADP
ecj-14088	15	12	surgeons	surgeon	NOUN
ecj-14088	15	13	committee	committee	NOUN
ecj-14088	15	14	on	on	ADP
ecj-14088	15	15	trauma	trauma	NOUN
ecj-14088	15	16	,	,	PUNCT
ecj-14088	15	17	the	the	DET
ecj-14088	15	18	american	american	PROPN
ecj-14088	15	19	college	college	PROPN
ecj-14088	15	20	of	of	ADP
ecj-14088	15	21	emergency	emergency	NOUN
ecj-14088	15	22	physicians	physician	NOUN
ecj-14088	15	23	,	,	PUNCT
ecj-14088	15	24	and	and	CCONJ
ecj-14088	15	25	the	the	DET
ecj-14088	15	26	national	national	PROPN
ecj-14088	15	27	association	association	PROPN
ecj-14088	15	28	of	of	ADP
ecj-14088	15	29	ems	ems	PROPN
ecj-14088	15	30	physicians	physician	NOUN
ecj-14088	15	31	,	,	PUNCT
ecj-14088	15	32	current	current	ADJ
ecj-14088	15	33	prehospital	prehospital	NOUN
ecj-14088	15	34	techniques	technique	NOUN
ecj-14088	15	35	do	do	AUX
ecj-14088	15	36	not	not	PART
ecj-14088	15	37	achieve	achieve	VERB
ecj-14088	15	38	true	true	ADJ
ecj-14088	15	39	immobilization	immobilization	NOUN
ecj-14088	15	40	but	but	CCONJ
ecj-14088	15	41	aim	aim	VERB
ecj-14088	15	42	to	to	PART
ecj-14088	15	43	reduce	reduce	VERB
ecj-14088	15	44	unwanted	unwanted	ADJ
ecj-14088	15	45	spinal	spinal	ADJ
ecj-14088	15	46	motion	motion	NOUN
ecj-14088	15	47	to	to	ADP
ecj-14088	15	48	the	the	DET
ecj-14088	15	49	minimum	minimum	NOUN
ecj-14088	15	50	necessary	necessary	ADJ
ecj-14088	15	51	.	.	PUNCT
ecj-14088	16	1	as	as	SCONJ
ecj-14088	16	2	such	such	ADJ
ecj-14088	16	3	,	,	PUNCT
ecj-14088	16	4	smr	smr	NOUN
ecj-14088	16	5	thus	thus	ADV
ecj-14088	16	6	better	well	ADV
ecj-14088	16	7	reflects	reflect	VERB
ecj-14088	16	8	the	the	DET
ecj-14088	16	9	clinical	clinical	ADJ
ecj-14088	16	10	goal	goal	NOUN
ecj-14088	16	11	of	of	ADP
ecj-14088	16	12	minimizing	minimize	VERB
ecj-14088	16	13	secondary	secondary	ADJ
ecj-14088	16	14	spinal	spinal	NOUN
ecj-14088	16	15	injury	injury	NOUN
ecj-14088	16	16	while	while	SCONJ
ecj-14088	16	17	limiting	limit	VERB
ecj-14088	16	18	patient	patient	ADJ
ecj-14088	16	19	discomfort	discomfort	NOUN
ecj-14088	16	20	and	and	CCONJ
ecj-14088	16	21	potential	potential	ADJ
ecj-14088	16	22	complications.9	complications.9	NOUN
ecj-14088	16	23	correspondence	correspondence	NOUN
ecj-14088	16	24	:	:	PUNCT
ecj-14088	16	25	flavio	flavio	PROPN
ecj-14088	16	26	gheri	gheri	PROPN
ecj-14088	16	27	,	,	PUNCT
ecj-14088	16	28	department	department	NOUN
ecj-14088	16	29	of	of	ADP
ecj-14088	16	30	biomedicine	biomedicine	NOUN
ecj-14088	16	31	and	and	CCONJ
ecj-14088	16	32	prevention	prevention	NOUN
ecj-14088	16	33	,	,	PUNCT
ecj-14088	16	34	university	university	PROPN
ecj-14088	16	35	of	of	ADP
ecj-14088	16	36	rome	rome	PROPN
ecj-14088	16	37	,	,	PUNCT
ecj-14088	16	38	tor	tor	PROPN
ecj-14088	16	39	vergata	vergata	PROPN
ecj-14088	16	40	,	,	PUNCT
ecj-14088	16	41	italy	italy	PROPN
ecj-14088	16	42	.	.	PUNCT
ecj-14088	17	1	e	e	X
ecj-14088	17	2	-	-	NOUN
ecj-14088	17	3	mail	mail	NOUN
ecj-14088	17	4	:	:	PUNCT
ecj-14088	17	5	gheri.flavio@gmail.com	gheri.flavio@gmail.com	PROPN
ecj-14088	17	6	key	key	ADJ
ecj-14088	17	7	words	word	NOUN
ecj-14088	17	8	:	:	PUNCT
ecj-14088	17	9	spinal	spinal	ADJ
ecj-14088	17	10	cord	cord	NOUN
ecj-14088	17	11	injuries	injury	NOUN
ecj-14088	17	12	,	,	PUNCT
ecj-14088	17	13	emergency	emergency	NOUN
ecj-14088	17	14	medical	medical	ADJ
ecj-14088	17	15	services	service	NOUN
ecj-14088	17	16	,	,	PUNCT
ecj-14088	17	17	spinal	spinal	ADJ
ecj-14088	17	18	motor	motor	NOUN
ecj-14088	17	19	restriction	restriction	NOUN
ecj-14088	17	20	,	,	PUNCT
ecj-14088	17	21	spinal	spinal	NOUN
ecj-14088	17	22	immobilization	immobilization	NOUN
ecj-14088	17	23	,	,	PUNCT
ecj-14088	17	24	major	major	ADJ
ecj-14088	17	25	trauma	trauma	NOUN
ecj-14088	17	26	contributions	contribution	NOUN
ecj-14088	17	27	:	:	PUNCT
ecj-14088	17	28	fg	fg	PROPN
ecj-14088	17	29	,	,	PUNCT
ecj-14088	17	30	conceptualized	conceptualize	VERB
ecj-14088	17	31	the	the	DET
ecj-14088	17	32	study	study	NOUN
ecj-14088	17	33	,	,	PUNCT
ecj-14088	17	34	supervised	supervise	VERB
ecj-14088	17	35	the	the	DET
ecj-14088	17	36	methodology	methodology	NOUN
ecj-14088	17	37	,	,	PUNCT
ecj-14088	17	38	and	and	CCONJ
ecj-14088	17	39	wrote	write	VERB
ecj-14088	17	40	the	the	DET
ecj-14088	17	41	manuscript	manuscript	NOUN
ecj-14088	17	42	;	;	PUNCT
ecj-14088	17	43	nt	not	PART
ecj-14088	17	44	,	,	PUNCT
ecj-14088	17	45	contributed	contribute	VERB
ecj-14088	17	46	to	to	ADP
ecj-14088	17	47	literature	literature	NOUN
ecj-14088	17	48	search	search	NOUN
ecj-14088	17	49	and	and	CCONJ
ecj-14088	17	50	critical	critical	ADJ
ecj-14088	17	51	appraisal	appraisal	NOUN
ecj-14088	17	52	of	of	ADP
ecj-14088	17	53	included	include	VERB
ecj-14088	17	54	studies	study	NOUN
ecj-14088	17	55	;	;	PUNCT
ecj-14088	17	56	nb	nb	PROPN
ecj-14088	17	57	,	,	PUNCT
ecj-14088	17	58	rr	rr	PROPN
ecj-14088	17	59	,	,	PUNCT
ecj-14088	17	60	ib	ib	PROPN
ecj-14088	17	61	,	,	PUNCT
ecj-14088	17	62	gc	gc	PROPN
ecj-14088	17	63	,	,	PUNCT
ecj-14088	17	64	dp	dp	NOUN
ecj-14088	17	65	,	,	PUNCT
ecj-14088	17	66	final	final	ADJ
ecj-14088	17	67	critical	critical	ADJ
ecj-14088	17	68	revision	revision	NOUN
ecj-14088	17	69	of	of	ADP
ecj-14088	17	70	the	the	DET
ecj-14088	17	71	manuscript	manuscript	NOUN
ecj-14088	17	72	;	;	PUNCT
ecj-14088	17	73	mf	mf	PROPN
ecj-14088	17	74	,	,	PUNCT
ecj-14088	17	75	sc	sc	PROPN
ecj-14088	17	76	,	,	PUNCT
ecj-14088	17	77	critical	critical	ADJ
ecj-14088	17	78	appraisal	appraisal	NOUN
ecj-14088	17	79	of	of	ADP
ecj-14088	17	80	the	the	DET
ecj-14088	17	81	included	include	VERB
ecj-14088	17	82	studies	study	NOUN
ecj-14088	17	83	;	;	PUNCT
ecj-14088	17	84	df	df	PROPN
ecj-14088	17	85	contributed	contribute	VERB
ecj-14088	17	86	to	to	ADP
ecj-14088	17	87	the	the	DET
ecj-14088	17	88	final	final	ADJ
ecj-14088	17	89	review	review	NOUN
ecj-14088	17	90	and	and	CCONJ
ecj-14088	17	91	validation	validation	NOUN
ecj-14088	17	92	of	of	ADP
ecj-14088	17	93	the	the	DET
ecj-14088	17	94	manuscript	manuscript	NOUN
ecj-14088	17	95	’s	’s	PART
ecj-14088	17	96	clinical	clinical	ADJ
ecj-14088	17	97	relevance	relevance	NOUN
ecj-14088	17	98	and	and	CCONJ
ecj-14088	17	99	methodology	methodology	NOUN
ecj-14088	17	100	.	.	PUNCT
ecj-14088	18	1	conflict	conflict	NOUN
ecj-14088	18	2	of	of	ADP
ecj-14088	18	3	interest	interest	NOUN
ecj-14088	18	4	:	:	PUNCT
ecj-14088	18	5	the	the	DET
ecj-14088	18	6	authors	author	NOUN
ecj-14088	18	7	declare	declare	VERB
ecj-14088	18	8	no	no	DET
ecj-14088	18	9	potential	potential	ADJ
ecj-14088	18	10	conflict	conflict	NOUN
ecj-14088	18	11	of	of	ADP
ecj-14088	18	12	interest	interest	NOUN
ecj-14088	18	13	,	,	PUNCT
ecj-14088	18	14	and	and	CCONJ
ecj-14088	18	15	all	all	DET
ecj-14088	18	16	authors	author	NOUN
ecj-14088	18	17	confirm	confirm	VERB
ecj-14088	18	18	accuracy	accuracy	NOUN
ecj-14088	18	19	.	.	PUNCT
ecj-14088	19	1	ethics	ethic	NOUN
ecj-14088	19	2	approval	approval	NOUN
ecj-14088	19	3	and	and	CCONJ
ecj-14088	19	4	consent	consent	NOUN
ecj-14088	19	5	to	to	PART
ecj-14088	19	6	participate	participate	VERB
ecj-14088	19	7	:	:	PUNCT
ecj-14088	19	8	not	not	PART
ecj-14088	19	9	applicable	applicable	ADJ
ecj-14088	19	10	.	.	PUNCT
ecj-14088	20	1	availability	availability	NOUN
ecj-14088	20	2	of	of	ADP
ecj-14088	20	3	data	datum	NOUN
ecj-14088	20	4	and	and	CCONJ
ecj-14088	20	5	materials	material	NOUN
ecj-14088	20	6	:	:	PUNCT
ecj-14088	20	7	all	all	DET
ecj-14088	20	8	data	datum	NOUN
ecj-14088	20	9	generated	generate	VERB
ecj-14088	20	10	or	or	CCONJ
ecj-14088	20	11	analyzed	analyze	VERB
ecj-14088	20	12	during	during	ADP
ecj-14088	20	13	this	this	DET
ecj-14088	20	14	study	study	NOUN
ecj-14088	20	15	are	be	AUX
ecj-14088	20	16	included	include	VERB
ecj-14088	20	17	in	in	ADP
ecj-14088	20	18	this	this	DET
ecj-14088	20	19	published	publish	VERB
ecj-14088	20	20	article	article	NOUN
ecj-14088	20	21	.	.	PUNCT
ecj-14088	21	1	received	receive	VERB
ecj-14088	21	2	:	:	PUNCT
ecj-14088	21	3	26	26	NUM
ecj-14088	21	4	june	june	PROPN
ecj-14088	21	5	2025	2025	NUM
ecj-14088	21	6	.	.	PUNCT
ecj-14088	22	1	accepted	accept	VERB
ecj-14088	22	2	:	:	PUNCT
ecj-14088	22	3	4	4	NUM
ecj-14088	22	4	august	august	PROPN
ecj-14088	22	5	2025	2025	NUM
ecj-14088	22	6	.	.	PUNCT
ecj-14088	23	1	early	early	ADJ
ecj-14088	23	2	view	view	NOUN
ecj-14088	23	3	:	:	PUNCT
ecj-14088	23	4	22	22	NUM
ecj-14088	23	5	september	september	PROPN
ecj-14088	23	6	2025	2025	NUM
ecj-14088	23	7	.	.	PUNCT
ecj-14088	24	1	this	this	DET
ecj-14088	24	2	work	work	NOUN
ecj-14088	24	3	is	be	AUX
ecj-14088	24	4	licensed	license	VERB
ecj-14088	24	5	under	under	ADP
ecj-14088	24	6	a	a	DET
ecj-14088	24	7	creative	creative	ADJ
ecj-14088	24	8	commons	common	NOUN
ecj-14088	24	9	attribution	attribution	NOUN
ecj-14088	24	10	4.0	4.0	NUM
ecj-14088	24	11	license	license	NOUN
ecj-14088	24	12	(	(	PUNCT
ecj-14088	24	13	by	by	ADP
ecj-14088	24	14	-	-	PUNCT
ecj-14088	24	15	nc	nc	PROPN
ecj-14088	24	16	4.0	4.0	NUM
ecj-14088	24	17	)	)	PUNCT
ecj-14088	24	18	.	.	PUNCT
ecj-14088	25	1	©	©	PROPN
ecj-14088	25	2	copyright	copyright	NOUN
ecj-14088	25	3	:	:	PUNCT
ecj-14088	25	4	the	the	DET
ecj-14088	25	5	author(s	author(s	PROPN
ecj-14088	25	6	)	)	PUNCT
ecj-14088	25	7	,	,	PUNCT
ecj-14088	25	8	2025	2025	NUM
ecj-14088	25	9	licensee	licensee	NOUN
ecj-14088	25	10	pagepress	pagepress	NOUN
ecj-14088	25	11	,	,	PUNCT
ecj-14088	25	12	italy	italy	PROPN
ecj-14088	25	13	emergency	emergency	PROPN
ecj-14088	25	14	care	care	PROPN
ecj-14088	25	15	journal	journal	PROPN
ecj-14088	25	16	2025	2025	NUM
ecj-14088	25	17	;	;	PUNCT
ecj-14088	25	18	21:14088	21:14088	NUM
ecj-14088	25	19	doi:10.4081	doi:10.4081	NOUN
ecj-14088	25	20	/	/	SYM
ecj-14088	25	21	ecj.2025.14088	ecj.2025.14088	CCONJ
ecj-14088	25	22	publisher	publisher	NOUN
ecj-14088	25	23	's	's	PART
ecj-14088	25	24	note	note	NOUN
ecj-14088	25	25	:	:	PUNCT
ecj-14088	25	26	all	all	DET
ecj-14088	25	27	claims	claim	NOUN
ecj-14088	25	28	expressed	express	VERB
ecj-14088	25	29	in	in	ADP
ecj-14088	25	30	this	this	DET
ecj-14088	25	31	article	article	NOUN
ecj-14088	25	32	are	be	AUX
ecj-14088	25	33	solely	solely	ADV
ecj-14088	25	34	those	those	PRON
ecj-14088	25	35	of	of	ADP
ecj-14088	25	36	the	the	DET
ecj-14088	25	37	authors	author	NOUN
ecj-14088	25	38	and	and	CCONJ
ecj-14088	25	39	do	do	AUX
ecj-14088	25	40	not	not	PART
ecj-14088	25	41	necessarily	necessarily	ADV
ecj-14088	25	42	represent	represent	VERB
ecj-14088	25	43	those	those	PRON
ecj-14088	25	44	of	of	ADP
ecj-14088	25	45	their	their	PRON
ecj-14088	25	46	affiliated	affiliated	ADJ
ecj-14088	25	47	organizations	organization	NOUN
ecj-14088	25	48	,	,	PUNCT
ecj-14088	25	49	or	or	CCONJ
ecj-14088	25	50	those	those	PRON
ecj-14088	25	51	of	of	ADP
ecj-14088	25	52	the	the	DET
ecj-14088	25	53	publisher	publisher	NOUN
ecj-14088	25	54	,	,	PUNCT
ecj-14088	25	55	the	the	DET
ecj-14088	25	56	editors	editor	NOUN
ecj-14088	25	57	and	and	CCONJ
ecj-14088	25	58	the	the	DET
ecj-14088	25	59	reviewers	reviewer	NOUN
ecj-14088	25	60	.	.	PUNCT
ecj-14088	26	1	any	any	DET
ecj-14088	26	2	product	product	NOUN
ecj-14088	26	3	that	that	PRON
ecj-14088	26	4	may	may	AUX
ecj-14088	26	5	be	be	AUX
ecj-14088	26	6	evaluated	evaluate	VERB
ecj-14088	26	7	in	in	ADP
ecj-14088	26	8	this	this	DET
ecj-14088	26	9	article	article	NOUN
ecj-14088	26	10	or	or	CCONJ
ecj-14088	26	11	claim	claim	NOUN
ecj-14088	26	12	that	that	PRON
ecj-14088	26	13	may	may	AUX
ecj-14088	26	14	be	be	AUX
ecj-14088	26	15	made	make	VERB
ecj-14088	26	16	by	by	ADP
ecj-14088	26	17	its	its	PRON
ecj-14088	26	18	manufacturer	manufacturer	NOUN
ecj-14088	26	19	is	be	AUX
ecj-14088	26	20	not	not	PART
ecj-14088	26	21	guaranteed	guarantee	VERB
ecj-14088	26	22	or	or	CCONJ
ecj-14088	26	23	endorsed	endorse	VERB
ecj-14088	26	24	by	by	ADP
ecj-14088	26	25	the	the	DET
ecj-14088	26	26	publisher	publisher	NOUN
ecj-14088	26	27	.	.	PUNCT
ecj-14088	27	1	prehospital	prehospital	ADJ
ecj-14088	27	2	spinal	spinal	NOUN
ecj-14088	27	3	and	and	CCONJ
ecj-14088	27	4	cervical	cervical	ADJ
ecj-14088	27	5	motor	motor	NOUN
ecj-14088	27	6	restriction	restriction	NOUN
ecj-14088	27	7	in	in	ADP
ecj-14088	27	8	adult	adult	NOUN
ecj-14088	27	9	trauma	trauma	NOUN
ecj-14088	27	10	patients	patient	NOUN
ecj-14088	27	11	:	:	PUNCT
ecj-14088	27	12	a	a	DET
ecj-14088	27	13	narrative	narrative	NOUN
ecj-14088	27	14	review	review	NOUN
ecj-14088	27	15	flavio	flavio	PROPN
ecj-14088	27	16	gheri,1	gheri,1	VERB
ecj-14088	27	17	niccolò	niccolò	PROPN
ecj-14088	27	18	toppi,2	toppi,2	ADP
ecj-14088	27	19	nicola	nicola	PROPN
ecj-14088	27	20	bortoli,3	bortoli,3	VERB
ecj-14088	27	21	marco	marco	PROPN
ecj-14088	27	22	forni,3	forni,3	PROPN
ecj-14088	27	23	simone	simone	NOUN
ecj-14088	27	24	celi,3	celi,3	VERB
ecj-14088	27	25	roberto	roberto	PROPN
ecj-14088	27	26	romano,3	romano,3	PROPN
ecj-14088	27	27	ilario	ilario	PROPN
ecj-14088	27	28	bocchi,4,5	bocchi,4,5	NOUN
ecj-14088	27	29	giuseppe	giuseppe	PROPN
ecj-14088	27	30	coraci,4,6	coraci,4,6	PROPN
ecj-14088	27	31	domenica	domenica	PROPN
ecj-14088	27	32	petta,4	petta,4	PROPN
ecj-14088	27	33	douglas	douglas	PROPN
ecj-14088	27	34	j.	j.	PROPN
ecj-14088	27	35	floccare3,7,8	floccare3,7,8	PROPN
ecj-14088	27	36	1department	1department	NUM
ecj-14088	27	37	of	of	ADP
ecj-14088	27	38	biomedicine	biomedicine	NOUN
ecj-14088	27	39	and	and	CCONJ
ecj-14088	27	40	prevention	prevention	NOUN
ecj-14088	27	41	,	,	PUNCT
ecj-14088	27	42	university	university	PROPN
ecj-14088	27	43	of	of	ADP
ecj-14088	27	44	rome	rome	PROPN
ecj-14088	27	45	tor	tor	PROPN
ecj-14088	27	46	vergata	vergata	PROPN
ecj-14088	27	47	,	,	PUNCT
ecj-14088	27	48	rome	rome	PROPN
ecj-14088	27	49	,	,	PUNCT
ecj-14088	27	50	italy	italy	PROPN
ecj-14088	27	51	;	;	PUNCT
ecj-14088	28	1	2department	2department	NUM
ecj-14088	28	2	of	of	ADP
ecj-14088	28	3	health	health	NOUN
ecj-14088	28	4	sciences	sciences	PROPN
ecj-14088	28	5	,	,	PUNCT
ecj-14088	28	6	university	university	NOUN
ecj-14088	28	7	of	of	ADP
ecj-14088	28	8	florence	florence	NOUN
ecj-14088	28	9	,	,	PUNCT
ecj-14088	28	10	florence	florence	NOUN
ecj-14088	28	11	,	,	PUNCT
ecj-14088	28	12	italy	italy	PROPN
ecj-14088	28	13	;	;	PUNCT
ecj-14088	28	14	3italian	3italian	NUM
ecj-14088	28	15	academy	academy	NOUN
ecj-14088	28	16	of	of	ADP
ecj-14088	28	17	emergency	emergency	NOUN
ecj-14088	28	18	medicine	medicine	NOUN
ecj-14088	28	19	(	(	PUNCT
ecj-14088	28	20	aies	aie	NOUN
ecj-14088	28	21	)	)	PUNCT
ecj-14088	28	22	,	,	PUNCT
ecj-14088	28	23	italy	italy	PROPN
ecj-14088	28	24	;	;	PUNCT
ecj-14088	28	25	4azienda	4azienda	NUM
ecj-14088	28	26	usl	usl	PROPN
ecj-14088	28	27	toscana	toscana	PROPN
ecj-14088	28	28	centro	centro	X
ecj-14088	28	29	,	,	PUNCT
ecj-14088	28	30	italy	italy	PROPN
ecj-14088	28	31	;	;	PUNCT
ecj-14088	28	32	5usar	5usar	NUM
ecj-14088	28	33	toscana	toscana	PROPN
ecj-14088	28	34	team	team	NOUN
ecj-14088	28	35	,	,	PUNCT
ecj-14088	28	36	italy	italy	PROPN
ecj-14088	28	37	;	;	PUNCT
ecj-14088	28	38	6member	6member	NUM
ecj-14088	28	39	of	of	ADP
ecj-14088	28	40	medevac	medevac	NOUN
ecj-14088	28	41	toscana	toscana	PROPN
ecj-14088	28	42	team	team	PROPN
ecj-14088	28	43	,	,	PUNCT
ecj-14088	28	44	italy	italy	PROPN
ecj-14088	28	45	;	;	PUNCT
ecj-14088	28	46	7department	7department	NUM
ecj-14088	28	47	of	of	ADP
ecj-14088	28	48	emergency	emergency	NOUN
ecj-14088	28	49	medicine	medicine	NOUN
ecj-14088	28	50	,	,	PUNCT
ecj-14088	28	51	university	university	PROPN
ecj-14088	28	52	of	of	ADP
ecj-14088	28	53	maryland	maryland	PROPN
ecj-14088	28	54	school	school	NOUN
ecj-14088	28	55	of	of	ADP
ecj-14088	28	56	medicine	medicine	NOUN
ecj-14088	28	57	,	,	PUNCT
ecj-14088	28	58	baltimore	baltimore	PROPN
ecj-14088	28	59	,	,	PUNCT
ecj-14088	28	60	md	md	PROPN
ecj-14088	28	61	,	,	PUNCT
ecj-14088	28	62	united	united	PROPN
ecj-14088	28	63	states	states	PROPN
ecj-14088	28	64	;	;	PUNCT
ecj-14088	28	65	8maryland	8maryland	NUM
ecj-14088	28	66	institute	institute	NOUN
ecj-14088	28	67	for	for	ADP
ecj-14088	28	68	emergency	emergency	NOUN
ecj-14088	28	69	medical	medical	ADJ
ecj-14088	28	70	services	service	NOUN
ecj-14088	28	71	systems	system	NOUN
ecj-14088	28	72	(	(	PUNCT
ecj-14088	28	73	miemss	miemss	PROPN
ecj-14088	28	74	)	)	PUNCT
ecj-14088	28	75	,	,	PUNCT
ecj-14088	28	76	baltimore	baltimore	PROPN
ecj-14088	28	77	,	,	PUNCT
ecj-14088	28	78	md	md	PROPN
ecj-14088	28	79	,	,	PUNCT
ecj-14088	28	80	united	united	PROPN
ecj-14088	28	81	states	states	PROPN
ecj-14088	28	82	numerous	numerous	ADJ
ecj-14088	28	83	critical	critical	ADJ
ecj-14088	28	84	reviews	review	NOUN
ecj-14088	28	85	and	and	CCONJ
ecj-14088	28	86	observational	observational	ADJ
ecj-14088	28	87	studies	study	NOUN
ecj-14088	28	88	have	have	AUX
ecj-14088	28	89	highlighted	highlight	VERB
ecj-14088	28	90	that	that	DET
ecj-14088	28	91	routine	routine	ADJ
ecj-14088	28	92	spinal	spinal	NOUN
ecj-14088	28	93	immobilization	immobilization	NOUN
ecj-14088	28	94	may	may	AUX
ecj-14088	28	95	not	not	PART
ecj-14088	28	96	improve	improve	VERB
ecj-14088	28	97	neurological	neurological	ADJ
ecj-14088	28	98	outcomes	outcome	NOUN
ecj-14088	28	99	and	and	CCONJ
ecj-14088	28	100	,	,	PUNCT
ecj-14088	28	101	conversely	conversely	ADV
ecj-14088	28	102	,	,	PUNCT
ecj-14088	28	103	may	may	AUX
ecj-14088	28	104	be	be	AUX
ecj-14088	28	105	associated	associate	VERB
ecj-14088	28	106	with	with	ADP
ecj-14088	28	107	potentially	potentially	ADV
ecj-14088	28	108	avoidable	avoidable	ADJ
ecj-14088	28	109	complications	complication	NOUN
ecj-14088	28	110	.	.	PUNCT
ecj-14088	29	1	these	these	PRON
ecj-14088	29	2	include	include	VERB
ecj-14088	29	3	pressure	pressure	NOUN
ecj-14088	29	4	ulcers	ulcer	NOUN
ecj-14088	29	5	,	,	PUNCT
ecj-14088	29	6	respiratory	respiratory	ADJ
ecj-14088	29	7	distress	distress	NOUN
ecj-14088	29	8	,	,	PUNCT
ecj-14088	29	9	increased	increase	VERB
ecj-14088	29	10	intracranial	intracranial	ADJ
ecj-14088	29	11	pressure	pressure	NOUN
ecj-14088	29	12	,	,	PUNCT
ecj-14088	29	13	delayed	delay	VERB
ecj-14088	29	14	airway	airway	NOUN
ecj-14088	29	15	management	management	NOUN
ecj-14088	29	16	,	,	PUNCT
ecj-14088	29	17	and	and	CCONJ
ecj-14088	29	18	anxiety	anxiety	NOUN
ecj-14088	29	19	in	in	ADP
ecj-14088	29	20	conscious	conscious	ADJ
ecj-14088	29	21	patients	patient	NOUN
ecj-14088	29	22	.	.	PUNCT
ecj-14088	30	1	in	in	ADP
ecj-14088	30	2	a	a	DET
ecj-14088	30	3	large	large	ADJ
ecj-14088	30	4	cohort	cohort	NOUN
ecj-14088	30	5	of	of	ADP
ecj-14088	30	6	patients	patient	NOUN
ecj-14088	30	7	with	with	ADP
ecj-14088	30	8	spinal	spinal	ADJ
ecj-14088	30	9	injury	injury	NOUN
ecj-14088	30	10	,	,	PUNCT
ecj-14088	30	11	a	a	DET
ecj-14088	30	12	higher	high	ADJ
ecj-14088	30	13	incidence	incidence	NOUN
ecj-14088	30	14	of	of	ADP
ecj-14088	30	15	adverse	adverse	ADJ
ecj-14088	30	16	events	event	NOUN
ecj-14088	30	17	was	be	AUX
ecj-14088	30	18	reported	report	VERB
ecj-14088	30	19	in	in	ADP
ecj-14088	30	20	the	the	DET
ecj-14088	30	21	immobilized	immobilized	ADJ
ecj-14088	30	22	group	group	NOUN
ecj-14088	30	23	,	,	PUNCT
ecj-14088	30	24	without	without	ADP
ecj-14088	30	25	documented	document	VERB
ecj-14088	30	26	neurological	neurological	ADJ
ecj-14088	30	27	benefits.10	benefits.10	NOUN
ecj-14088	30	28	-	-	PUNCT
ecj-14088	30	29	13	13	NUM
ecj-14088	30	30	concurrently	concurrently	ADV
ecj-14088	30	31	,	,	PUNCT
ecj-14088	30	32	the	the	DET
ecj-14088	30	33	literature	literature	NOUN
ecj-14088	30	34	has	have	AUX
ecj-14088	30	35	documented	document	VERB
ecj-14088	30	36	widespread	widespread	ADJ
ecj-14088	30	37	overuse	overuse	NOUN
ecj-14088	30	38	of	of	ADP
ecj-14088	30	39	the	the	DET
ecj-14088	30	40	procedure	procedure	NOUN
ecj-14088	30	41	:	:	PUNCT
ecj-14088	30	42	mitchnik	mitchnik	X
ecj-14088	30	43	et	et	PROPN
ecj-14088	30	44	al	al	PROPN
ecj-14088	30	45	.	.	PROPN
ecj-14088	30	46	reported	report	VERB
ecj-14088	30	47	that	that	SCONJ
ecj-14088	30	48	only	only	ADV
ecj-14088	30	49	8	8	NUM
ecj-14088	30	50	%	%	NOUN
ecj-14088	30	51	of	of	ADP
ecj-14088	30	52	patients	patient	NOUN
ecj-14088	30	53	fitted	fit	VERB
ecj-14088	30	54	with	with	ADP
ecj-14088	30	55	a	a	DET
ecj-14088	30	56	cervical	cervical	ADJ
ecj-14088	30	57	collar	collar	NOUN
ecj-14088	30	58	had	have	VERB
ecj-14088	30	59	a	a	DET
ecj-14088	30	60	radiologically	radiologically	ADV
ecj-14088	30	61	confirmed	confirm	VERB
ecj-14088	30	62	cervical	cervical	ADJ
ecj-14088	30	63	injury,14	injury,14	ADV
ecj-14088	30	64	while	while	SCONJ
ecj-14088	30	65	lee	lee	PROPN
ecj-14088	30	66	et	et	PROPN
ecj-14088	30	67	al	al	PROPN
ecj-14088	30	68	.	.	PROPN
ecj-14088	30	69	observed	observe	VERB
ecj-14088	30	70	a	a	DET
ecj-14088	30	71	collar	collar	NOUN
ecj-14088	30	72	application	application	NOUN
ecj-14088	30	73	rate	rate	NOUN
ecj-14088	30	74	exceeding	exceed	VERB
ecj-14088	30	75	70	70	NUM
ecj-14088	30	76	%	%	NOUN
ecj-14088	30	77	in	in	ADP
ecj-14088	30	78	polytrauma	polytrauma	NOUN
ecj-14088	30	79	patients	patient	NOUN
ecj-14088	30	80	,	,	PUNCT
ecj-14088	30	81	regardless	regardless	ADV
ecj-14088	30	82	of	of	ADP
ecj-14088	30	83	the	the	DET
ecj-14088	30	84	presence	presence	NOUN
ecj-14088	30	85	of	of	ADP
ecj-14088	30	86	clinical	clinical	ADJ
ecj-14088	30	87	risk	risk	NOUN
ecj-14088	30	88	criteria.15	criteria.15	NOUN
ecj-14088	30	89	to	to	PART
ecj-14088	30	90	complicate	complicate	VERB
ecj-14088	30	91	the	the	DET
ecj-14088	30	92	scenario	scenario	NOUN
ecj-14088	30	93	further	far	ADV
ecj-14088	30	94	,	,	PUNCT
ecj-14088	30	95	evidence	evidence	NOUN
ecj-14088	30	96	indicates	indicate	VERB
ecj-14088	30	97	that	that	SCONJ
ecj-14088	30	98	in	in	ADP
ecj-14088	30	99	specific	specific	ADJ
ecj-14088	30	100	subgroups	subgroup	NOUN
ecj-14088	30	101	—	—	PUNCT
ecj-14088	30	102	such	such	ADJ
ecj-14088	30	103	as	as	ADP
ecj-14088	30	104	patients	patient	NOUN
ecj-14088	30	105	with	with	ADP
ecj-14088	30	106	traumatic	traumatic	ADJ
ecj-14088	30	107	brain	brain	NOUN
ecj-14088	30	108	injury	injury	NOUN
ecj-14088	30	109	or	or	CCONJ
ecj-14088	30	110	those	those	PRON
ecj-14088	30	111	in	in	ADP
ecj-14088	30	112	cardiac	cardiac	ADJ
ecj-14088	30	113	arrest	arrest	NOUN
ecj-14088	30	114	—	—	PUNCT
ecj-14088	30	115	spinal	spinal	ADJ
ecj-14088	30	116	immobilization	immobilization	NOUN
ecj-14088	30	117	may	may	AUX
ecj-14088	30	118	be	be	AUX
ecj-14088	30	119	not	not	PART
ecj-14088	30	120	only	only	ADV
ecj-14088	30	121	unnecessary	unnecessary	ADJ
ecj-14088	30	122	,	,	PUNCT
ecj-14088	30	123	but	but	CCONJ
ecj-14088	30	124	potentially	potentially	ADV
ecj-14088	30	125	harmful.2,16	harmful.2,16	PROPN
ecj-14088	30	126	in	in	ADP
ecj-14088	30	127	response	response	NOUN
ecj-14088	30	128	to	to	ADP
ecj-14088	30	129	this	this	DET
ecj-14088	30	130	issue	issue	NOUN
ecj-14088	30	131	,	,	PUNCT
ecj-14088	30	132	clinical	clinical	ADJ
ecj-14088	30	133	decision	decision	NOUN
ecj-14088	30	134	tools	tool	NOUN
ecj-14088	30	135	have	have	AUX
ecj-14088	30	136	been	be	AUX
ecj-14088	30	137	developed	develop	VERB
ecj-14088	30	138	to	to	PART
ecj-14088	30	139	more	more	ADV
ecj-14088	30	140	accurately	accurately	ADV
ecj-14088	30	141	identify	identify	VERB
ecj-14088	30	142	patients	patient	NOUN
ecj-14088	30	143	who	who	PRON
ecj-14088	30	144	require	require	VERB
ecj-14088	30	145	spinal	spinal	ADJ
ecj-14088	30	146	immobilization	immobilization	NOUN
ecj-14088	30	147	.	.	PUNCT
ecj-14088	31	1	the	the	DET
ecj-14088	31	2	nexus	nexus	NOUN
ecj-14088	31	3	criteria	criterion	NOUN
ecj-14088	31	4	and	and	CCONJ
ecj-14088	31	5	the	the	DET
ecj-14088	31	6	canadian	canadian	ADJ
ecj-14088	31	7	c	c	NOUN
ecj-14088	31	8	-	-	PUNCT
ecj-14088	31	9	spine	spine	ADJ
ecj-14088	31	10	rule	rule	NOUN
ecj-14088	31	11	(	(	PUNCT
ecj-14088	31	12	ccr	ccr	PROPN
ecj-14088	31	13	)	)	PUNCT
ecj-14088	31	14	have	have	AUX
ecj-14088	31	15	demonstrated	demonstrate	VERB
ecj-14088	31	16	high	high	ADJ
ecj-14088	31	17	sensitivity	sensitivity	NOUN
ecj-14088	31	18	in	in	ADP
ecj-14088	31	19	detecting	detect	VERB
ecj-14088	31	20	clinically	clinically	ADV
ecj-14088	31	21	significant	significant	ADJ
ecj-14088	31	22	injuries	injury	NOUN
ecj-14088	31	23	while	while	SCONJ
ecj-14088	31	24	simultaneously	simultaneously	ADV
ecj-14088	31	25	reducing	reduce	VERB
ecj-14088	31	26	unnecessary	unnecessary	ADJ
ecj-14088	31	27	use	use	NOUN
ecj-14088	31	28	of	of	ADP
ecj-14088	31	29	immobilization	immobilization	NOUN
ecj-14088	31	30	devices.17,18	devices.17,18	NOUN
ecj-14088	31	31	more	more	ADV
ecj-14088	31	32	recently	recently	ADV
ecj-14088	31	33	,	,	PUNCT
ecj-14088	31	34	häske	häske	ADV
ecj-14088	31	35	et	et	PROPN
ecj-14088	31	36	al	al	PROPN
ecj-14088	31	37	.	.	PROPN
ecj-14088	31	38	proposed	propose	VERB
ecj-14088	31	39	the	the	DET
ecj-14088	31	40	immo	immo	ADJ
ecj-14088	31	41	tls	tls	NOUN
ecj-14088	31	42	system	system	NOUN
ecj-14088	31	43	,	,	PUNCT
ecj-14088	31	44	a	a	DET
ecj-14088	31	45	traffic	traffic	NOUN
ecj-14088	31	46	-	-	PUNCT
ecj-14088	31	47	light	light	NOUN
ecj-14088	31	48	algorithm	algorithm	NOUN
ecj-14088	31	49	that	that	PRON
ecj-14088	31	50	integrates	integrate	VERB
ecj-14088	31	51	epidemiological	epidemiological	ADJ
ecj-14088	31	52	,	,	PUNCT
ecj-14088	31	53	neurological	neurological	ADJ
ecj-14088	31	54	,	,	PUNCT
ecj-14088	31	55	and	and	CCONJ
ecj-14088	31	56	mechanical	mechanical	ADJ
ecj-14088	31	57	factors	factor	NOUN
ecj-14088	31	58	into	into	ADP
ecj-14088	31	59	the	the	DET
ecj-14088	31	60	prehospital	prehospital	ADJ
ecj-14088	31	61	decision	decision	NOUN
ecj-14088	31	62	-	-	PUNCT
ecj-14088	31	63	making	make	VERB
ecj-14088	31	64	process.19	process.19	NOUN
ecj-14088	31	65	studies	study	NOUN
ecj-14088	31	66	conducted	conduct	VERB
ecj-14088	31	67	in	in	ADP
ecj-14088	31	68	the	the	DET
ecj-14088	31	69	netherlands	netherlands	PROPN
ecj-14088	31	70	,	,	PUNCT
ecj-14088	31	71	germany	germany	PROPN
ecj-14088	31	72	,	,	PUNCT
ecj-14088	31	73	and	and	CCONJ
ecj-14088	31	74	south	south	PROPN
ecj-14088	31	75	korea	korea	PROPN
ecj-14088	31	76	have	have	AUX
ecj-14088	31	77	shown	show	VERB
ecj-14088	31	78	that	that	SCONJ
ecj-14088	31	79	adopting	adopt	VERB
ecj-14088	31	80	selective	selective	ADJ
ecj-14088	31	81	immobilization	immobilization	NOUN
ecj-14088	31	82	protocols	protocol	NOUN
ecj-14088	31	83	can	can	AUX
ecj-14088	31	84	significantly	significantly	ADV
ecj-14088	31	85	reduce	reduce	VERB
ecj-14088	31	86	cervical	cervical	ADJ
ecj-14088	31	87	collar	collar	NOUN
ecj-14088	31	88	use	use	NOUN
ecj-14088	31	89	without	without	ADP
ecj-14088	31	90	compromising	compromise	VERB
ecj-14088	31	91	patient	patient	NOUN
ecj-14088	31	92	safety.15,20,21	safety.15,20,21	NOUN
ecj-14088	31	93	the	the	DET
ecj-14088	31	94	scoping	scope	VERB
ecj-14088	31	95	review	review	NOUN
ecj-14088	31	96	conducted	conduct	VERB
ecj-14088	31	97	by	by	ADP
ecj-14088	31	98	habibi	habibi	PROPN
ecj-14088	31	99	arejan	arejan	PROPN
ecj-14088	31	100	et	et	PROPN
ecj-14088	31	101	al	al	PROPN
ecj-14088	31	102	.	.	PROPN
ecj-14088	31	103	,	,	PUNCT
ecj-14088	31	104	based	base	VERB
ecj-14088	31	105	on	on	ADP
ecj-14088	31	106	42	42	NUM
ecj-14088	31	107	international	international	ADJ
ecj-14088	31	108	studies	study	NOUN
ecj-14088	31	109	,	,	PUNCT
ecj-14088	31	110	emphasized	emphasize	VERB
ecj-14088	31	111	that	that	SCONJ
ecj-14088	31	112	practices	practice	NOUN
ecj-14088	31	113	remain	remain	VERB
ecj-14088	31	114	heterogeneous	heterogeneous	ADJ
ecj-14088	31	115	and	and	CCONJ
ecj-14088	31	116	are	be	AUX
ecj-14088	31	117	often	often	ADV
ecj-14088	31	118	influenced	influence	VERB
ecj-14088	31	119	by	by	ADP
ecj-14088	31	120	organizational	organizational	ADJ
ecj-14088	31	121	,	,	PUNCT
ecj-14088	31	122	cultural	cultural	ADJ
ecj-14088	31	123	,	,	PUNCT
ecj-14088	31	124	and	and	CCONJ
ecj-14088	31	125	medico	medico	ADJ
ecj-14088	31	126	-	-	ADJ
ecj-14088	31	127	legal	legal	ADJ
ecj-14088	31	128	factors.22	factors.22	NOUN
ecj-14088	31	129	moreover	moreover	ADV
ecj-14088	31	130	,	,	PUNCT
ecj-14088	31	131	the	the	DET
ecj-14088	31	132	implementation	implementation	NOUN
ecj-14088	31	133	of	of	ADP
ecj-14088	31	134	clinical	clinical	ADJ
ecj-14088	31	135	decision	decision	NOUN
ecj-14088	31	136	protocols	protocol	NOUN
ecj-14088	31	137	frequently	frequently	ADV
ecj-14088	31	138	encounters	encounter	VERB
ecj-14088	31	139	obstacles	obstacle	NOUN
ecj-14088	31	140	such	such	ADJ
ecj-14088	31	141	as	as	ADP
ecj-14088	31	142	incomplete	incomplete	ADJ
ecj-14088	31	143	training	training	NOUN
ecj-14088	31	144	and	and	CCONJ
ecj-14088	31	145	the	the	DET
ecj-14088	31	146	lack	lack	NOUN
ecj-14088	31	147	of	of	ADP
ecj-14088	31	148	continuous	continuous	ADJ
ecj-14088	31	149	professional	professional	ADJ
ecj-14088	31	150	development	development	NOUN
ecj-14088	31	151	among	among	ADP
ecj-14088	31	152	emergency	emergency	NOUN
ecj-14088	31	153	responders.7,17	responders.7,17	NOUN
ecj-14088	31	154	the	the	DET
ecj-14088	31	155	literature	literature	NOUN
ecj-14088	31	156	also	also	ADV
ecj-14088	31	157	indicates	indicate	VERB
ecj-14088	31	158	that	that	SCONJ
ecj-14088	31	159	improper	improper	ADJ
ecj-14088	31	160	application	application	NOUN
ecj-14088	31	161	of	of	ADP
ecj-14088	31	162	cervical	cervical	ADJ
ecj-14088	31	163	collars	collar	NOUN
ecj-14088	31	164	by	by	ADP
ecj-14088	31	165	untrained	untrained	ADJ
ecj-14088	31	166	personnel	personnel	NOUN
ecj-14088	31	167	may	may	AUX
ecj-14088	31	168	result	result	VERB
ecj-14088	31	169	in	in	ADP
ecj-14088	31	170	paradoxical	paradoxical	ADJ
ecj-14088	31	171	cervical	cervical	ADJ
ecj-14088	31	172	movements	movement	NOUN
ecj-14088	31	173	or	or	CCONJ
ecj-14088	31	174	incorrect	incorrect	ADJ
ecj-14088	31	175	immobilization	immobilization	NOUN
ecj-14088	31	176	,	,	PUNCT
ecj-14088	31	177	potentially	potentially	ADV
ecj-14088	31	178	increasing	increase	VERB
ecj-14088	31	179	clinical	clinical	ADJ
ecj-14088	31	180	risk.16,23	risk.16,23	NOUN
ecj-14088	31	181	in	in	ADP
ecj-14088	31	182	terms	term	NOUN
ecj-14088	31	183	of	of	ADP
ecj-14088	31	184	devices	device	NOUN
ecj-14088	31	185	,	,	PUNCT
ecj-14088	31	186	alternatives	alternative	NOUN
ecj-14088	31	187	to	to	ADP
ecj-14088	31	188	the	the	DET
ecj-14088	31	189	long	long	ADJ
ecj-14088	31	190	spine	spine	PROPN
ecj-14088	31	191	board	board	PROPN
ecj-14088	31	192	(	(	PUNCT
ecj-14088	31	193	lsb	lsb	PROPN
ecj-14088	31	194	)	)	PUNCT
ecj-14088	31	195	,	,	PUNCT
ecj-14088	31	196	such	such	ADJ
ecj-14088	31	197	as	as	ADP
ecj-14088	31	198	the	the	DET
ecj-14088	31	199	vacuum	vacuum	NOUN
ecj-14088	31	200	mattress	mattress	NOUN
ecj-14088	31	201	and	and	CCONJ
ecj-14088	31	202	scoop	scoop	NOUN
ecj-14088	31	203	stretcher	stretcher	NOUN
ecj-14088	31	204	,	,	PUNCT
ecj-14088	31	205	have	have	AUX
ecj-14088	31	206	been	be	AUX
ecj-14088	31	207	proposed	propose	VERB
ecj-14088	31	208	.	.	PUNCT
ecj-14088	32	1	these	these	PRON
ecj-14088	32	2	appear	appear	VERB
ecj-14088	32	3	to	to	PART
ecj-14088	32	4	offer	offer	VERB
ecj-14088	32	5	superior	superior	ADJ
ecj-14088	32	6	performance	performance	NOUN
ecj-14088	32	7	in	in	ADP
ecj-14088	32	8	terms	term	NOUN
ecj-14088	32	9	of	of	ADP
ecj-14088	32	10	comfort	comfort	NOUN
ecj-14088	32	11	,	,	PUNCT
ecj-14088	32	12	stability	stability	NOUN
ecj-14088	32	13	,	,	PUNCT
ecj-14088	32	14	and	and	CCONJ
ecj-14088	32	15	pain	pain	NOUN
ecj-14088	32	16	reduction.24,25	reduction.24,25	NOUN
ecj-14088	32	17	experimental	experimental	ADJ
ecj-14088	32	18	studies	study	NOUN
ecj-14088	32	19	have	have	AUX
ecj-14088	32	20	also	also	ADV
ecj-14088	32	21	demonstrated	demonstrate	VERB
ecj-14088	32	22	that	that	SCONJ
ecj-14088	32	23	,	,	PUNCT
ecj-14088	32	24	in	in	ADP
ecj-14088	32	25	stable	stable	ADJ
ecj-14088	32	26	patients	patient	NOUN
ecj-14088	32	27	,	,	PUNCT
ecj-14088	32	28	controlled	control	VERB
ecj-14088	32	29	self	self	NOUN
ecj-14088	32	30	-	-	PUNCT
ecj-14088	32	31	extrication	extrication	NOUN
ecj-14088	32	32	produces	produce	VERB
ecj-14088	32	33	less	less	ADJ
ecj-14088	32	34	cervical	cervical	ADJ
ecj-14088	32	35	spine	spine	ADJ
ecj-14088	32	36	movement	movement	NOUN
ecj-14088	32	37	compared	compare	VERB
ecj-14088	32	38	to	to	ADP
ecj-14088	32	39	passive	passive	ADJ
ecj-14088	32	40	extraction	extraction	NOUN
ecj-14088	32	41	using	use	VERB
ecj-14088	32	42	an	an	DET
ecj-14088	32	43	lsb.8	lsb.8	NOUN
ecj-14088	32	44	despite	despite	SCONJ
ecj-14088	32	45	the	the	DET
ecj-14088	32	46	growing	grow	VERB
ecj-14088	32	47	body	body	NOUN
ecj-14088	32	48	of	of	ADP
ecj-14088	32	49	evidence	evidence	NOUN
ecj-14088	32	50	,	,	PUNCT
ecj-14088	32	51	significant	significant	ADJ
ecj-14088	32	52	gaps	gap	NOUN
ecj-14088	32	53	remain	remain	VERB
ecj-14088	32	54	in	in	ADP
ecj-14088	32	55	the	the	DET
ecj-14088	32	56	literature	literature	NOUN
ecj-14088	32	57	,	,	PUNCT
ecj-14088	32	58	particularly	particularly	ADV
ecj-14088	32	59	concerning	concern	VERB
ecj-14088	32	60	the	the	DET
ecj-14088	32	61	role	role	NOUN
ecj-14088	32	62	of	of	ADP
ecj-14088	32	63	immobilization	immobilization	NOUN
ecj-14088	32	64	in	in	ADP
ecj-14088	32	65	penetrating	penetrate	VERB
ecj-14088	32	66	trauma	trauma	NOUN
ecj-14088	32	67	,	,	PUNCT
ecj-14088	32	68	in	in	ADP
ecj-14088	32	69	elderly	elderly	ADJ
ecj-14088	32	70	patients	patient	NOUN
ecj-14088	32	71	,	,	PUNCT
ecj-14088	32	72	in	in	ADP
ecj-14088	32	73	rural	rural	ADJ
ecj-14088	32	74	environments	environment	NOUN
ecj-14088	32	75	,	,	PUNCT
ecj-14088	32	76	and	and	CCONJ
ecj-14088	32	77	in	in	ADP
ecj-14088	32	78	high	high	ADJ
ecj-14088	32	79	-	-	PUNCT
ecj-14088	32	80	demand	demand	NOUN
ecj-14088	32	81	operational	operational	ADJ
ecj-14088	32	82	settings	setting	NOUN
ecj-14088	32	83	.	.	PUNCT
ecj-14088	33	1	furthermore	furthermore	ADV
ecj-14088	33	2	,	,	PUNCT
ecj-14088	33	3	it	it	PRON
ecj-14088	33	4	is	be	AUX
ecj-14088	33	5	necessary	necessary	ADJ
ecj-14088	33	6	to	to	PART
ecj-14088	33	7	assess	assess	VERB
ecj-14088	33	8	the	the	DET
ecj-14088	33	9	economic	economic	ADJ
ecj-14088	33	10	,	,	PUNCT
ecj-14088	33	11	organizational	organizational	ADJ
ecj-14088	33	12	,	,	PUNCT
ecj-14088	33	13	and	and	CCONJ
ecj-14088	33	14	psychological	psychological	ADJ
ecj-14088	33	15	impacts	impact	NOUN
ecj-14088	33	16	associated	associate	VERB
ecj-14088	33	17	with	with	ADP
ecj-14088	33	18	the	the	DET
ecj-14088	33	19	widespread	widespread	ADJ
ecj-14088	33	20	use	use	NOUN
ecj-14088	33	21	of	of	ADP
ecj-14088	33	22	spinal	spinal	ADJ
ecj-14088	33	23	immobilization	immobilization	NOUN
ecj-14088	33	24	devices.4,21,22	devices.4,21,22	NOUN
ecj-14088	33	25	in	in	ADP
ecj-14088	33	26	light	light	NOUN
ecj-14088	33	27	of	of	ADP
ecj-14088	33	28	these	these	DET
ecj-14088	33	29	considerations	consideration	NOUN
ecj-14088	33	30	,	,	PUNCT
ecj-14088	33	31	the	the	DET
ecj-14088	33	32	present	present	ADJ
ecj-14088	33	33	narrative	narrative	NOUN
ecj-14088	33	34	review	review	NOUN
ecj-14088	33	35	aims	aim	VERB
ecj-14088	33	36	to	to	PART
ecj-14088	33	37	critically	critically	ADV
ecj-14088	33	38	analyze	analyze	VERB
ecj-14088	33	39	the	the	DET
ecj-14088	33	40	available	available	ADJ
ecj-14088	33	41	evidence	evidence	NOUN
ecj-14088	33	42	on	on	ADP
ecj-14088	33	43	the	the	DET
ecj-14088	33	44	clinical	clinical	ADJ
ecj-14088	33	45	effectiveness	effectiveness	NOUN
ecj-14088	33	46	of	of	ADP
ecj-14088	33	47	prehospital	prehospital	ADJ
ecj-14088	33	48	spinal	spinal	NOUN
ecj-14088	33	49	immobilization	immobilization	NOUN
ecj-14088	33	50	,	,	PUNCT
ecj-14088	33	51	with	with	ADP
ecj-14088	33	52	specific	specific	ADJ
ecj-14088	33	53	attention	attention	NOUN
ecj-14088	33	54	to	to	ADP
ecj-14088	33	55	associated	associated	ADJ
ecj-14088	33	56	complications	complication	NOUN
ecj-14088	33	57	,	,	PUNCT
ecj-14088	33	58	device	device	NOUN
ecj-14088	33	59	comparisons	comparison	NOUN
ecj-14088	33	60	,	,	PUNCT
ecj-14088	33	61	the	the	DET
ecj-14088	33	62	implementation	implementation	NOUN
ecj-14088	33	63	of	of	ADP
ecj-14088	33	64	selective	selective	ADJ
ecj-14088	33	65	decision	decision	NOUN
ecj-14088	33	66	criteria	criterion	NOUN
ecj-14088	33	67	,	,	PUNCT
ecj-14088	33	68	and	and	CCONJ
ecj-14088	33	69	the	the	DET
ecj-14088	33	70	persistent	persistent	ADJ
ecj-14088	33	71	gaps	gap	NOUN
ecj-14088	33	72	in	in	ADP
ecj-14088	33	73	the	the	DET
ecj-14088	33	74	literature	literature	NOUN
ecj-14088	33	75	.	.	PUNCT
ecj-14088	34	1	the	the	DET
ecj-14088	34	2	objective	objective	NOUN
ecj-14088	34	3	is	be	AUX
ecj-14088	34	4	to	to	PART
ecj-14088	34	5	provide	provide	VERB
ecj-14088	34	6	a	a	DET
ecj-14088	34	7	concise	concise	ADJ
ecj-14088	34	8	yet	yet	CCONJ
ecj-14088	34	9	comprehensive	comprehensive	ADJ
ecj-14088	34	10	overview	overview	NOUN
ecj-14088	34	11	to	to	PART
ecj-14088	34	12	support	support	VERB
ecj-14088	34	13	clinical	clinical	ADJ
ecj-14088	34	14	practice	practice	NOUN
ecj-14088	34	15	in	in	ADP
ecj-14088	34	16	emergency	emergency	NOUN
ecj-14088	34	17	medical	medical	ADJ
ecj-14088	34	18	systems	system	NOUN
ecj-14088	34	19	.	.	PUNCT
ecj-14088	35	1	materials	material	NOUN
ecj-14088	35	2	and	and	CCONJ
ecj-14088	35	3	methods	method	NOUN
ecj-14088	35	4	this	this	DET
ecj-14088	35	5	narrative	narrative	NOUN
ecj-14088	35	6	review	review	NOUN
ecj-14088	35	7	was	be	AUX
ecj-14088	35	8	conducted	conduct	VERB
ecj-14088	35	9	in	in	ADP
ecj-14088	35	10	accordance	accordance	NOUN
ecj-14088	35	11	with	with	ADP
ecj-14088	35	12	the	the	DET
ecj-14088	35	13	criteria	criterion	NOUN
ecj-14088	35	14	proposed	propose	VERB
ecj-14088	35	15	by	by	ADP
ecj-14088	35	16	the	the	DET
ecj-14088	35	17	scale	scale	NOUN
ecj-14088	35	18	for	for	ADP
ecj-14088	35	19	the	the	DET
ecj-14088	35	20	assessment	assessment	NOUN
ecj-14088	35	21	of	of	ADP
ecj-14088	35	22	narrative	narrative	NOUN
ecj-14088	35	23	review	review	NOUN
ecj-14088	35	24	articles	article	NOUN
ecj-14088	35	25	(	(	PUNCT
ecj-14088	35	26	sanra	sanra	NOUN
ecj-14088	35	27	)	)	PUNCT
ecj-14088	35	28	,	,	PUNCT
ecj-14088	35	29	in	in	ADP
ecj-14088	35	30	order	order	NOUN
ecj-14088	35	31	to	to	PART
ecj-14088	35	32	ensure	ensure	VERB
ecj-14088	35	33	methodological	methodological	ADJ
ecj-14088	35	34	rigor	rigor	NOUN
ecj-14088	35	35	and	and	CCONJ
ecj-14088	35	36	scientific	scientific	ADJ
ecj-14088	35	37	consistency.26	consistency.26	NOUN
ecj-14088	35	38	the	the	DET
ecj-14088	35	39	search	search	NOUN
ecj-14088	35	40	strategy	strategy	NOUN
ecj-14088	35	41	was	be	AUX
ecj-14088	35	42	structured	structure	VERB
ecj-14088	35	43	and	and	CCONJ
ecj-14088	35	44	documented	document	VERB
ecj-14088	35	45	through	through	ADP
ecj-14088	35	46	the	the	DET
ecj-14088	35	47	use	use	NOUN
ecj-14088	35	48	of	of	ADP
ecj-14088	35	49	mesh	mesh	NOUN
ecj-14088	35	50	terms	term	NOUN
ecj-14088	35	51	and	and	CCONJ
ecj-14088	35	52	boolean	boolean	ADJ
ecj-14088	35	53	operators	operator	NOUN
ecj-14088	35	54	.	.	PUNCT
ecj-14088	36	1	the	the	DET
ecj-14088	36	2	article	article	NOUN
ecj-14088	36	3	selection	selection	NOUN
ecj-14088	36	4	process	process	NOUN
ecj-14088	36	5	was	be	AUX
ecj-14088	36	6	carried	carry	VERB
ecj-14088	36	7	out	out	ADP
ecj-14088	36	8	in	in	ADP
ecj-14088	36	9	two	two	NUM
ecj-14088	36	10	phases	phase	NOUN
ecj-14088	36	11	:	:	PUNCT
ecj-14088	36	12	an	an	DET
ecj-14088	36	13	initial	initial	ADJ
ecj-14088	36	14	screening	screening	NOUN
ecj-14088	36	15	based	base	VERB
ecj-14088	36	16	on	on	ADP
ecj-14088	36	17	the	the	DET
ecj-14088	36	18	relevance	relevance	NOUN
ecj-14088	36	19	of	of	ADP
ecj-14088	36	20	title	title	NOUN
ecj-14088	36	21	and	and	CCONJ
ecj-14088	36	22	abstract	abstract	ADJ
ecj-14088	36	23	,	,	PUNCT
ecj-14088	36	24	followed	follow	VERB
ecj-14088	36	25	by	by	ADP
ecj-14088	36	26	full	full	ADJ
ecj-14088	36	27	-	-	PUNCT
ecj-14088	36	28	text	text	NOUN
ecj-14088	36	29	evaluation	evaluation	NOUN
ecj-14088	36	30	conducted	conduct	VERB
ecj-14088	36	31	in	in	ADP
ecj-14088	36	32	a	a	DET
ecj-14088	36	33	double	double	ADJ
ecj-14088	36	34	-	-	PUNCT
ecj-14088	36	35	blind	blind	ADJ
ecj-14088	36	36	manner	manner	NOUN
ecj-14088	36	37	by	by	ADP
ecj-14088	36	38	independent	independent	ADJ
ecj-14088	36	39	reviewers	reviewer	NOUN
ecj-14088	36	40	.	.	PUNCT
ecj-14088	37	1	to	to	PART
ecj-14088	37	2	enhance	enhance	VERB
ecj-14088	37	3	the	the	DET
ecj-14088	37	4	transparency	transparency	NOUN
ecj-14088	37	5	of	of	ADP
ecj-14088	37	6	the	the	DET
ecj-14088	37	7	process	process	NOUN
ecj-14088	37	8	,	,	PUNCT
ecj-14088	37	9	a	a	DET
ecj-14088	37	10	flowchart	flowchart	NOUN
ecj-14088	37	11	inspired	inspire	VERB
ecj-14088	37	12	by	by	ADP
ecj-14088	37	13	the	the	DET
ecj-14088	37	14	preferred	preferred	ADJ
ecj-14088	37	15	reporting	reporting	NOUN
ecj-14088	37	16	items	item	NOUN
ecj-14088	37	17	for	for	ADP
ecj-14088	37	18	systematic	systematic	ADJ
ecj-14088	37	19	review	review	NOUN
ecj-14088	37	20	and	and	CCONJ
ecj-14088	37	21	meta	meta	NOUN
ecj-14088	37	22	-	-	PUNCT
ecj-14088	37	23	analyses	analysis	NOUN
ecj-14088	37	24	(	(	PUNCT
ecj-14088	37	25	prisma	prisma	PROPN
ecj-14088	37	26	)	)	PUNCT
ecj-14088	37	27	was	be	AUX
ecj-14088	37	28	developed	develop	VERB
ecj-14088	37	29	,	,	PUNCT
ecj-14088	37	30	summarizing	summarize	VERB
ecj-14088	37	31	the	the	DET
ecj-14088	37	32	stages	stage	NOUN
ecj-14088	37	33	of	of	ADP
ecj-14088	37	34	study	study	NOUN
ecj-14088	37	35	identification	identification	NOUN
ecj-14088	37	36	,	,	PUNCT
ecj-14088	37	37	inclusion	inclusion	NOUN
ecj-14088	37	38	,	,	PUNCT
ecj-14088	37	39	and	and	CCONJ
ecj-14088	37	40	exclusion.27	exclusion.27	VERB
ecj-14088	37	41	the	the	DET
ecj-14088	37	42	methodological	methodological	ADJ
ecj-14088	37	43	quality	quality	NOUN
ecj-14088	37	44	of	of	ADP
ecj-14088	37	45	the	the	DET
ecj-14088	37	46	included	include	VERB
ecj-14088	37	47	studies	study	NOUN
ecj-14088	37	48	was	be	AUX
ecj-14088	37	49	assessed	assess	VERB
ecj-14088	37	50	using	use	VERB
ecj-14088	37	51	the	the	DET
ecj-14088	37	52	kmet	kmet	ADJ
ecj-14088	37	53	checklist	checklist	NOUN
ecj-14088	37	54	,	,	PUNCT
ecj-14088	37	55	a	a	DET
ecj-14088	37	56	critical	critical	ADJ
ecj-14088	37	57	appraisal	appraisal	NOUN
ecj-14088	37	58	tool	tool	NOUN
ecj-14088	37	59	designed	design	VERB
ecj-14088	37	60	to	to	PART
ecj-14088	37	61	evaluate	evaluate	VERB
ecj-14088	37	62	primary	primary	ADJ
ecj-14088	37	63	research	research	NOUN
ecj-14088	37	64	across	across	ADP
ecj-14088	37	65	different	different	ADJ
ecj-14088	37	66	fields	field	NOUN
ecj-14088	37	67	of	of	ADP
ecj-14088	37	68	study	study	NOUN
ecj-14088	37	69	.	.	PUNCT
ecj-14088	38	1	the	the	DET
ecj-14088	38	2	critical	critical	ADJ
ecj-14088	38	3	appraisal	appraisal	NOUN
ecj-14088	38	4	was	be	AUX
ecj-14088	38	5	independently	independently	ADV
ecj-14088	38	6	performed	perform	VERB
ecj-14088	38	7	by	by	ADP
ecj-14088	38	8	two	two	NUM
ecj-14088	38	9	reviewers	reviewer	NOUN
ecj-14088	38	10	using	use	VERB
ecj-14088	38	11	the	the	DET
ecj-14088	38	12	kmet	kmet	ADJ
ecj-14088	38	13	checklist	checklist	NOUN
ecj-14088	38	14	.	.	PUNCT
ecj-14088	39	1	each	each	DET
ecj-14088	39	2	study	study	NOUN
ecj-14088	39	3	was	be	AUX
ecj-14088	39	4	assigned	assign	VERB
ecj-14088	39	5	a	a	DET
ecj-14088	39	6	summary	summary	NOUN
ecj-14088	39	7	score	score	NOUN
ecj-14088	39	8	expressed	express	VERB
ecj-14088	39	9	as	as	ADP
ecj-14088	39	10	a	a	DET
ecj-14088	39	11	percentage	percentage	NOUN
ecj-14088	39	12	of	of	ADP
ecj-14088	39	13	applicable	applicable	ADJ
ecj-14088	39	14	criteria	criterion	NOUN
ecj-14088	39	15	.	.	PUNCT
ecj-14088	40	1	an	an	DET
ecj-14088	40	2	inclusion	inclusion	NOUN
ecj-14088	40	3	threshold	threshold	NOUN
ecj-14088	40	4	of	of	ADP
ecj-14088	40	5	≥75	≥75	NOUN
ecj-14088	40	6	%	%	NOUN
ecj-14088	40	7	was	be	AUX
ecj-14088	40	8	adopted	adopt	VERB
ecj-14088	40	9	to	to	PART
ecj-14088	40	10	determine	determine	VERB
ecj-14088	40	11	high	high	ADJ
ecj-14088	40	12	methodological	methodological	ADJ
ecj-14088	40	13	quality	quality	NOUN
ecj-14088	40	14	.	.	PUNCT
ecj-14088	41	1	inter	inter	ADJ
ecj-14088	41	2	-	-	ADJ
ecj-14088	41	3	rater	rater	ADJ
ecj-14088	41	4	reliability	reliability	NOUN
ecj-14088	41	5	on	on	ADP
ecj-14088	41	6	inclusion	inclusion	NOUN
ecj-14088	41	7	decisions	decision	NOUN
ecj-14088	41	8	was	be	AUX
ecj-14088	41	9	quantified	quantify	VERB
ecj-14088	41	10	using	use	VERB
ecj-14088	41	11	cohen	cohen	PROPN
ecj-14088	41	12	’s	’s	PART
ecj-14088	41	13	kappa	kappa	PROPN
ecj-14088	41	14	coefficient	coefficient	PROPN
ecj-14088	41	15	,	,	PUNCT
ecj-14088	41	16	yielding	yield	VERB
ecj-14088	41	17	a	a	DET
ecj-14088	41	18	value	value	NOUN
ecj-14088	41	19	of	of	ADP
ecj-14088	41	20	0.200	0.200	NUM
ecj-14088	41	21	and	and	CCONJ
ecj-14088	41	22	a	a	DET
ecj-14088	41	23	raw	raw	ADJ
ecj-14088	41	24	agreement	agreement	NOUN
ecj-14088	41	25	rate	rate	NOUN
ecj-14088	41	26	of	of	ADP
ecj-14088	41	27	56.3	56.3	NUM
ecj-14088	41	28	%	%	NOUN
ecj-14088	41	29	,	,	PUNCT
ecj-14088	41	30	indicative	indicative	ADJ
ecj-14088	41	31	of	of	ADP
ecj-14088	41	32	slight	slight	ADJ
ecj-14088	41	33	agreement	agreement	NOUN
ecj-14088	41	34	.	.	PUNCT
ecj-14088	42	1	given	give	VERB
ecj-14088	42	2	the	the	DET
ecj-14088	42	3	qualitative	qualitative	ADJ
ecj-14088	42	4	nature	nature	NOUN
ecj-14088	42	5	of	of	ADP
ecj-14088	42	6	the	the	DET
ecj-14088	42	7	tool	tool	NOUN
ecj-14088	42	8	,	,	PUNCT
ecj-14088	42	9	discrepancies	discrepancy	NOUN
ecj-14088	42	10	were	be	AUX
ecj-14088	42	11	resolved	resolve	VERB
ecj-14088	42	12	through	through	ADP
ecj-14088	42	13	consensus	consensus	NOUN
ecj-14088	42	14	to	to	PART
ecj-14088	42	15	ensure	ensure	VERB
ecj-14088	42	16	consistency	consistency	NOUN
ecj-14088	42	17	in	in	ADP
ecj-14088	42	18	study	study	NOUN
ecj-14088	42	19	selection	selection	NOUN
ecj-14088	42	20	.	.	PUNCT
ecj-14088	43	1	a	a	DET
ecj-14088	43	2	comparative	comparative	ADJ
ecj-14088	43	3	summary	summary	NOUN
ecj-14088	43	4	of	of	ADP
ecj-14088	43	5	individual	individual	ADJ
ecj-14088	43	6	reviewer	reviewer	NOUN
ecj-14088	43	7	scores	score	NOUN
ecj-14088	43	8	is	be	AUX
ecj-14088	43	9	provided	provide	VERB
ecj-14088	43	10	in	in	ADP
ecj-14088	43	11	supplementary	supplementary	ADJ
ecj-14088	43	12	materials	material	NOUN
ecj-14088	43	13	,	,	PUNCT
ecj-14088	43	14	table	table	NOUN
ecj-14088	43	15	2	2	NUM
ecj-14088	43	16	.	.	PUNCT
ecj-14088	43	17	search	search	NOUN
ecj-14088	43	18	strategy	strategy	NOUN
ecj-14088	43	19	the	the	DET
ecj-14088	43	20	search	search	NOUN
ecj-14088	43	21	strategy	strategy	NOUN
ecj-14088	43	22	was	be	AUX
ecj-14088	43	23	developed	develop	VERB
ecj-14088	43	24	in	in	ADP
ecj-14088	43	25	a	a	DET
ecj-14088	43	26	structured	structured	ADJ
ecj-14088	43	27	and	and	CCONJ
ecj-14088	43	28	reproducible	reproducible	ADJ
ecj-14088	43	29	manner	manner	NOUN
ecj-14088	43	30	,	,	PUNCT
ecj-14088	43	31	with	with	ADP
ecj-14088	43	32	the	the	DET
ecj-14088	43	33	support	support	NOUN
ecj-14088	43	34	of	of	ADP
ecj-14088	43	35	a	a	DET
ecj-14088	43	36	research	research	NOUN
ecj-14088	43	37	methodology	methodology	NOUN
ecj-14088	43	38	expert	expert	NOUN
ecj-14088	43	39	.	.	PUNCT
ecj-14088	44	1	four	four	NUM
ecj-14088	44	2	electronic	electronic	ADJ
ecj-14088	44	3	databases	database	NOUN
ecj-14088	44	4	were	be	AUX
ecj-14088	44	5	consulted	consult	VERB
ecj-14088	44	6	:	:	PUNCT
ecj-14088	44	7	pubmed	pubmed	PROPN
ecj-14088	44	8	,	,	PUNCT
ecj-14088	44	9	proquest	proquest	PROPN
ecj-14088	44	10	,	,	PUNCT
ecj-14088	44	11	cumulative	cumulative	ADJ
ecj-14088	44	12	index	index	NOUN
ecj-14088	44	13	to	to	ADP
ecj-14088	44	14	nursing	nursing	NOUN
ecj-14088	44	15	and	and	CCONJ
ecj-14088	44	16	allied	ally	VERB
ecj-14088	44	17	health	health	NOUN
ecj-14088	44	18	literature	literature	NOUN
ecj-14088	44	19	(	(	PUNCT
ecj-14088	44	20	cinahl	cinahl	NOUN
ecj-14088	44	21	)	)	PUNCT
ecj-14088	44	22	,	,	PUNCT
ecj-14088	44	23	and	and	CCONJ
ecj-14088	44	24	web	web	NOUN
ecj-14088	44	25	of	of	ADP
ecj-14088	44	26	science	science	NOUN
ecj-14088	44	27	.	.	PUNCT
ecj-14088	45	1	the	the	DET
ecj-14088	45	2	search	search	NOUN
ecj-14088	45	3	was	be	AUX
ecj-14088	45	4	conducted	conduct	VERB
ecj-14088	45	5	up	up	ADP
ecj-14088	45	6	to	to	ADP
ecj-14088	45	7	march	march	PROPN
ecj-14088	45	8	11	11	NUM
ecj-14088	45	9	,	,	PUNCT
ecj-14088	45	10	2025	2025	NUM
ecj-14088	45	11	,	,	PUNCT
ecj-14088	45	12	using	use	VERB
ecj-14088	45	13	combinations	combination	NOUN
ecj-14088	45	14	of	of	ADP
ecj-14088	45	15	mesh	mesh	NOUN
ecj-14088	45	16	terms	term	NOUN
ecj-14088	45	17	(	(	PUNCT
ecj-14088	45	18	where	where	SCONJ
ecj-14088	45	19	available	available	ADJ
ecj-14088	45	20	)	)	PUNCT
ecj-14088	45	21	and	and	CCONJ
ecj-14088	45	22	free	free	ADJ
ecj-14088	45	23	-	-	PUNCT
ecj-14088	45	24	text	text	NOUN
ecj-14088	45	25	keywords	keyword	NOUN
ecj-14088	45	26	,	,	PUNCT
ecj-14088	45	27	connected	connect	VERB
ecj-14088	45	28	via	via	ADP
ecj-14088	45	29	boolean	boolean	ADJ
ecj-14088	45	30	operators	operator	NOUN
ecj-14088	45	31	(	(	PUNCT
ecj-14088	45	32	“	"	PUNCT
ecj-14088	45	33	and	and	CCONJ
ecj-14088	45	34	”	"	PUNCT
ecj-14088	45	35	,	,	PUNCT
ecj-14088	45	36	“	"	PUNCT
ecj-14088	45	37	or	or	CCONJ
ecj-14088	45	38	”	"	PUNCT
ecj-14088	45	39	)	)	PUNCT
ecj-14088	45	40	.	.	PUNCT
ecj-14088	46	1	the	the	DET
ecj-14088	46	2	strategy	strategy	NOUN
ecj-14088	46	3	was	be	AUX
ecj-14088	46	4	adapted	adapt	VERB
ecj-14088	46	5	to	to	ADP
ecj-14088	46	6	the	the	DET
ecj-14088	46	7	syntax	syntax	NOUN
ecj-14088	46	8	of	of	ADP
ecj-14088	46	9	each	each	DET
ecj-14088	46	10	specific	specific	ADJ
ecj-14088	46	11	database	database	NOUN
ecj-14088	46	12	.	.	PUNCT
ecj-14088	47	1	the	the	DET
ecj-14088	47	2	main	main	ADJ
ecj-14088	47	3	search	search	NOUN
ecj-14088	47	4	terms	term	NOUN
ecj-14088	47	5	included	include	VERB
ecj-14088	47	6	:	:	PUNCT
ecj-14088	47	7	“	"	PUNCT
ecj-14088	47	8	cervical	cervical	ADJ
ecj-14088	47	9	spinal	spinal	NOUN
ecj-14088	47	10	”	"	PUNCT
ecj-14088	47	11	,	,	PUNCT
ecj-14088	47	12	“	"	PUNCT
ecj-14088	47	13	cervical	cervical	ADJ
ecj-14088	47	14	cord	cord	NOUN
ecj-14088	47	15	”	"	PUNCT
ecj-14088	47	16	,	,	PUNCT
ecj-14088	47	17	“	"	PUNCT
ecj-14088	47	18	spinal	spinal	ADJ
ecj-14088	47	19	trauma	trauma	NOUN
ecj-14088	47	20	”	"	PUNCT
ecj-14088	47	21	,	,	PUNCT
ecj-14088	47	22	“	"	PUNCT
ecj-14088	47	23	spinal	spinal	NOUN
ecj-14088	47	24	board	board	NOUN
ecj-14088	47	25	”	"	PUNCT
ecj-14088	47	26	,	,	PUNCT
ecj-14088	47	27	“	"	PUNCT
ecj-14088	47	28	adult	adult	NOUN
ecj-14088	47	29	”	"	PUNCT
ecj-14088	47	30	,	,	PUNCT
ecj-14088	47	31	“	"	PUNCT
ecj-14088	47	32	immobilize	immobilize	VERB
ecj-14088	47	33	”	"	PUNCT
ecj-14088	47	34	,	,	PUNCT
ecj-14088	47	35	“	"	PUNCT
ecj-14088	47	36	device	device	NOUN
ecj-14088	47	37	”	"	PUNCT
ecj-14088	47	38	,	,	PUNCT
ecj-14088	47	39	“	"	PUNCT
ecj-14088	47	40	emergency	emergency	NOUN
ecj-14088	47	41	medical	medical	ADJ
ecj-14088	47	42	services	service	NOUN
ecj-14088	47	43	”	"	PUNCT
ecj-14088	47	44	.	.	PUNCT
ecj-14088	48	1	the	the	DET
ecj-14088	48	2	results	result	NOUN
ecj-14088	48	3	obtained	obtain	VERB
ecj-14088	48	4	(	(	PUNCT
ecj-14088	48	5	n	n	NOUN
ecj-14088	48	6	=	=	SYM
ecj-14088	48	7	348	348	NUM
ecj-14088	48	8	)	)	PUNCT
ecj-14088	48	9	were	be	AUX
ecj-14088	48	10	exported	export	VERB
ecj-14088	48	11	and	and	CCONJ
ecj-14088	48	12	uploaded	upload	VERB
ecj-14088	48	13	to	to	ADP
ecj-14088	48	14	the	the	DET
ecj-14088	48	15	rayyan	rayyan	ADJ
ecj-14088	48	16	platform	platform	NOUN
ecj-14088	48	17	–	–	PUNCT
ecj-14088	48	18	qatar	qatar	NOUN
ecj-14088	48	19	computing	computing	PROPN
ecj-14088	48	20	research	research	PROPN
ecj-14088	48	21	institute	institute	PROPN
ecj-14088	48	22	(	(	PUNCT
ecj-14088	48	23	qcri	qcri	PROPN
ecj-14088	48	24	)	)	PUNCT
ecj-14088	48	25	,	,	PUNCT
ecj-14088	48	26	where	where	SCONJ
ecj-14088	48	27	a	a	DET
ecj-14088	48	28	double	double	ADJ
ecj-14088	48	29	-	-	PUNCT
ecj-14088	48	30	blind	blind	ADJ
ecj-14088	48	31	screening	screening	NOUN
ecj-14088	48	32	was	be	AUX
ecj-14088	48	33	conducted	conduct	VERB
ecj-14088	48	34	by	by	ADP
ecj-14088	48	35	two	two	NUM
ecj-14088	48	36	independent	independent	ADJ
ecj-14088	48	37	reviewers	reviewer	NOUN
ecj-14088	48	38	.	.	PUNCT
ecj-14088	49	1	any	any	DET
ecj-14088	49	2	disagreements	disagreement	NOUN
ecj-14088	49	3	were	be	AUX
ecj-14088	49	4	resolved	resolve	VERB
ecj-14088	49	5	through	through	ADP
ecj-14088	49	6	discussion	discussion	NOUN
ecj-14088	49	7	and	and	CCONJ
ecj-14088	49	8	consensus	consensus	NOUN
ecj-14088	49	9	with	with	ADP
ecj-14088	49	10	a	a	DET
ecj-14088	49	11	third	third	ADJ
ecj-14088	49	12	reviewer	reviewer	NOUN
ecj-14088	49	13	.	.	PUNCT
ecj-14088	50	1	study	study	NOUN
ecj-14088	50	2	selection	selection	NOUN
ecj-14088	50	3	was	be	AUX
ecj-14088	50	4	carried	carry	VERB
ecj-14088	50	5	out	out	ADP
ecj-14088	50	6	in	in	ADP
ecj-14088	50	7	two	two	NUM
ecj-14088	50	8	phases	phase	NOUN
ecj-14088	50	9	:	:	PUNCT
ecj-14088	50	10	an	an	DET
ecj-14088	50	11	initial	initial	ADJ
ecj-14088	50	12	screening	screening	NOUN
ecj-14088	50	13	of	of	ADP
ecj-14088	50	14	title	title	NOUN
ecj-14088	50	15	and	and	CCONJ
ecj-14088	50	16	abstract	abstract	ADJ
ecj-14088	50	17	,	,	PUNCT
ecj-14088	50	18	followed	follow	VERB
ecj-14088	50	19	by	by	ADP
ecj-14088	50	20	a	a	DET
ecj-14088	50	21	full	full	ADJ
ecj-14088	50	22	-	-	PUNCT
ecj-14088	50	23	text	text	NOUN
ecj-14088	50	24	review	review	NOUN
ecj-14088	50	25	of	of	ADP
ecj-14088	50	26	eligible	eligible	ADJ
ecj-14088	50	27	studies	study	NOUN
ecj-14088	50	28	.	.	PUNCT
ecj-14088	51	1	eligibility	eligibility	NOUN
ecj-14088	51	2	criteria	criterion	NOUN
ecj-14088	51	3	studies	study	NOUN
ecj-14088	51	4	were	be	AUX
ecj-14088	51	5	considered	consider	VERB
ecj-14088	51	6	eligible	eligible	ADJ
ecj-14088	51	7	if	if	SCONJ
ecj-14088	51	8	they	they	PRON
ecj-14088	51	9	examined	examine	VERB
ecj-14088	51	10	adult	adult	NOUN
ecj-14088	51	11	patients	patient	NOUN
ecj-14088	51	12	(	(	PUNCT
ecj-14088	51	13	age	age	NOUN
ecj-14088	51	14	>	>	SYM
ecj-14088	51	15	16	16	NUM
ecj-14088	51	16	years	year	NOUN
ecj-14088	51	17	)	)	PUNCT
ecj-14088	51	18	with	with	ADP
ecj-14088	51	19	suspected	suspect	VERB
ecj-14088	51	20	cervical	cervical	ADJ
ecj-14088	51	21	and/or	and/or	CCONJ
ecj-14088	51	22	spinal	spinal	ADJ
ecj-14088	51	23	injuries	injury	NOUN
ecj-14088	51	24	in	in	ADP
ecj-14088	51	25	prehospital	prehospital	ADJ
ecj-14088	51	26	emergency	emergency	NOUN
ecj-14088	51	27	settings	setting	NOUN
ecj-14088	51	28	.	.	PUNCT
ecj-14088	52	1	only	only	ADV
ecj-14088	52	2	studies	study	NOUN
ecj-14088	52	3	involving	involve	VERB
ecj-14088	52	4	mechanical	mechanical	ADJ
ecj-14088	52	5	or	or	CCONJ
ecj-14088	52	6	blunt	blunt	ADJ
ecj-14088	52	7	trauma	trauma	NOUN
ecj-14088	52	8	were	be	AUX
ecj-14088	52	9	included	include	VERB
ecj-14088	52	10	,	,	PUNCT
ecj-14088	52	11	while	while	SCONJ
ecj-14088	52	12	those	those	PRON
ecj-14088	52	13	involving	involve	VERB
ecj-14088	52	14	penetrating	penetrate	VERB
ecj-14088	52	15	trauma	trauma	NOUN
ecj-14088	52	16	(	(	PUNCT
ecj-14088	52	17	e.g.	e.g.	ADV
ecj-14088	52	18	,	,	PUNCT
ecj-14088	52	19	stab	stab	NOUN
ecj-14088	52	20	wounds	wound	NOUN
ecj-14088	52	21	,	,	PUNCT
ecj-14088	52	22	gunshot	gunshot	NOUN
ecj-14088	52	23	injuries	injury	NOUN
ecj-14088	52	24	)	)	PUNCT
ecj-14088	52	25	or	or	CCONJ
ecj-14088	52	26	nontraumatic	nontraumatic	ADJ
ecj-14088	52	27	spinal	spinal	ADJ
ecj-14088	52	28	conditions	condition	NOUN
ecj-14088	52	29	were	be	AUX
ecj-14088	52	30	excluded	exclude	VERB
ecj-14088	52	31	.	.	PUNCT
ecj-14088	53	1	both	both	DET
ecj-14088	53	2	primary	primary	ADJ
ecj-14088	53	3	research	research	NOUN
ecj-14088	53	4	articles	article	NOUN
ecj-14088	53	5	(	(	PUNCT
ecj-14088	53	6	observational	observational	ADJ
ecj-14088	53	7	studies	study	NOUN
ecj-14088	53	8	or	or	CCONJ
ecj-14088	53	9	clinical	clinical	ADJ
ecj-14088	53	10	trials	trial	NOUN
ecj-14088	53	11	)	)	PUNCT
ecj-14088	53	12	and	and	CCONJ
ecj-14088	53	13	secondary	secondary	ADJ
ecj-14088	53	14	studies	study	NOUN
ecj-14088	53	15	were	be	AUX
ecj-14088	53	16	considered	consider	VERB
ecj-14088	53	17	eligible	eligible	ADJ
ecj-14088	53	18	.	.	PUNCT
ecj-14088	54	1	only	only	ADV
ecj-14088	54	2	articles	article	NOUN
ecj-14088	54	3	published	publish	VERB
ecj-14088	54	4	in	in	ADP
ecj-14088	54	5	english	english	PROPN
ecj-14088	54	6	or	or	CCONJ
ecj-14088	54	7	in	in	ADP
ecj-14088	54	8	italian	italian	NOUN
ecj-14088	54	9	with	with	ADP
ecj-14088	54	10	an	an	DET
ecj-14088	54	11	abstract	abstract	ADJ
ecj-14088	54	12	available	available	ADJ
ecj-14088	54	13	in	in	ADP
ecj-14088	54	14	english	english	PROPN
ecj-14088	54	15	were	be	AUX
ecj-14088	54	16	included	include	VERB
ecj-14088	54	17	.	.	PUNCT
ecj-14088	55	1	full	full	ADJ
ecj-14088	55	2	-	-	PUNCT
ecj-14088	55	3	text	text	NOUN
ecj-14088	55	4	availability	availability	NOUN
ecj-14088	55	5	was	be	AUX
ecj-14088	55	6	required	require	VERB
ecj-14088	55	7	for	for	ADP
ecj-14088	55	8	inclusion	inclusion	NOUN
ecj-14088	55	9	in	in	ADP
ecj-14088	55	10	the	the	DET
ecj-14088	55	11	qualitative	qualitative	ADJ
ecj-14088	55	12	synthesis	synthesis	NOUN
ecj-14088	55	13	.	.	PUNCT
ecj-14088	56	1	exclusion	exclusion	NOUN
ecj-14088	56	2	criteria	criterion	NOUN
ecj-14088	56	3	included	include	VERB
ecj-14088	56	4	studies	study	NOUN
ecj-14088	56	5	involving	involve	VERB
ecj-14088	56	6	pediatric	pediatric	ADJ
ecj-14088	56	7	populations	population	NOUN
ecj-14088	56	8	(	(	PUNCT
ecj-14088	56	9	<	<	X
ecj-14088	56	10	16	16	NUM
ecj-14088	56	11	years	year	NOUN
ecj-14088	56	12	)	)	PUNCT
ecj-14088	56	13	,	,	PUNCT
ecj-14088	57	1	research	research	NOUN
ecj-14088	57	2	conducted	conduct	VERB
ecj-14088	57	3	exclusively	exclusively	ADV
ecj-14088	57	4	in	in	ADP
ecj-14088	57	5	hospi	hospi	NOUN
ecj-14088	57	6	review	review	NOUN
ecj-14088	57	7	[	[	X
ecj-14088	57	8	emergency	emergency	NOUN
ecj-14088	57	9	care	care	NOUN
ecj-14088	57	10	journal	journal	NOUN
ecj-14088	57	11	2025	2025	NUM
ecj-14088	57	12	;	;	PUNCT
ecj-14088	57	13	21:14088	21:14088	NUM
ecj-14088	57	14	]	]	PUNCT
ecj-14088	58	1	[	[	X
ecj-14088	58	2	page	page	NOUN
ecj-14088	58	3	47	47	NUM
ecj-14088	58	4	]	]	X
ecj-14088	58	5	tal	tal	X
ecj-14088	58	6	,	,	PUNCT
ecj-14088	58	7	military	military	NOUN
ecj-14088	58	8	,	,	PUNCT
ecj-14088	58	9	sports	sport	NOUN
ecj-14088	58	10	,	,	PUNCT
ecj-14088	58	11	or	or	CCONJ
ecj-14088	58	12	simulated	simulated	ADJ
ecj-14088	58	13	environments	environment	NOUN
ecj-14088	58	14	,	,	PUNCT
ecj-14088	58	15	and	and	CCONJ
ecj-14088	58	16	studies	study	NOUN
ecj-14088	58	17	on	on	ADP
ecj-14088	58	18	chronic	chronic	ADJ
ecj-14088	58	19	,	,	PUNCT
ecj-14088	58	20	degenerative	degenerative	ADJ
ecj-14088	58	21	,	,	PUNCT
ecj-14088	58	22	or	or	CCONJ
ecj-14088	58	23	non	non	ADJ
ecj-14088	58	24	-	-	ADJ
ecj-14088	58	25	traumatic	traumatic	ADJ
ecj-14088	58	26	spinal	spinal	ADJ
ecj-14088	58	27	conditions	condition	NOUN
ecj-14088	58	28	.	.	PUNCT
ecj-14088	59	1	letters	letter	NOUN
ecj-14088	59	2	,	,	PUNCT
ecj-14088	59	3	editorials	editorial	NOUN
ecj-14088	59	4	,	,	PUNCT
ecj-14088	59	5	conference	conference	NOUN
ecj-14088	59	6	abstracts	abstract	NOUN
ecj-14088	59	7	without	without	ADP
ecj-14088	59	8	full	full	ADJ
ecj-14088	59	9	text	text	NOUN
ecj-14088	59	10	,	,	PUNCT
ecj-14088	59	11	and	and	CCONJ
ecj-14088	59	12	opinion	opinion	NOUN
ecj-14088	59	13	papers	paper	NOUN
ecj-14088	59	14	lacking	lack	VERB
ecj-14088	59	15	a	a	DET
ecj-14088	59	16	structured	structured	ADJ
ecj-14088	59	17	methodology	methodology	NOUN
ecj-14088	59	18	were	be	AUX
ecj-14088	59	19	also	also	ADV
ecj-14088	59	20	excluded	exclude	VERB
ecj-14088	59	21	.	.	PUNCT
ecj-14088	60	1	study	study	NOUN
ecj-14088	60	2	selection	selection	NOUN
ecj-14088	60	3	the	the	DET
ecj-14088	60	4	initial	initial	ADJ
ecj-14088	60	5	search	search	NOUN
ecj-14088	60	6	returned	return	VERB
ecj-14088	60	7	a	a	DET
ecj-14088	60	8	total	total	NOUN
ecj-14088	60	9	of	of	ADP
ecj-14088	60	10	348	348	NUM
ecj-14088	60	11	records	record	NOUN
ecj-14088	60	12	from	from	ADP
ecj-14088	60	13	the	the	DET
ecj-14088	60	14	four	four	NUM
ecj-14088	60	15	selected	select	VERB
ecj-14088	60	16	databases	database	NOUN
ecj-14088	60	17	.	.	PUNCT
ecj-14088	61	1	after	after	ADP
ecj-14088	61	2	automatic	automatic	ADJ
ecj-14088	61	3	and	and	CCONJ
ecj-14088	61	4	manual	manual	ADJ
ecj-14088	61	5	removal	removal	NOUN
ecj-14088	61	6	of	of	ADP
ecj-14088	61	7	duplicates	duplicate	NOUN
ecj-14088	61	8	,	,	PUNCT
ecj-14088	61	9	the	the	DET
ecj-14088	61	10	remaining	remain	VERB
ecj-14088	61	11	studies	study	NOUN
ecj-14088	61	12	were	be	AUX
ecj-14088	61	13	subjected	subject	VERB
ecj-14088	61	14	to	to	ADP
ecj-14088	61	15	a	a	DET
ecj-14088	61	16	two	two	NUM
ecj-14088	61	17	-	-	PUNCT
ecj-14088	61	18	phase	phase	NOUN
ecj-14088	61	19	selection	selection	NOUN
ecj-14088	61	20	process	process	NOUN
ecj-14088	61	21	using	use	VERB
ecj-14088	61	22	the	the	DET
ecj-14088	61	23	rayyan	rayyan	ADJ
ecj-14088	61	24	qcri	qcri	PROPN
ecj-14088	61	25	platform	platform	NOUN
ecj-14088	61	26	.	.	PUNCT
ecj-14088	62	1	in	in	ADP
ecj-14088	62	2	the	the	DET
ecj-14088	62	3	first	first	ADJ
ecj-14088	62	4	phase	phase	NOUN
ecj-14088	62	5	,	,	PUNCT
ecj-14088	62	6	two	two	NUM
ecj-14088	62	7	independent	independent	ADJ
ecj-14088	62	8	reviewers	reviewer	NOUN
ecj-14088	62	9	assessed	assess	VERB
ecj-14088	62	10	titles	title	NOUN
ecj-14088	62	11	and	and	CCONJ
ecj-14088	62	12	abstracts	abstract	NOUN
ecj-14088	62	13	against	against	ADP
ecj-14088	62	14	the	the	DET
ecj-14088	62	15	predefined	predefine	VERB
ecj-14088	62	16	eligibility	eligibility	NOUN
ecj-14088	62	17	criteria	criterion	NOUN
ecj-14088	62	18	.	.	PUNCT
ecj-14088	63	1	articles	article	NOUN
ecj-14088	63	2	deemed	deem	VERB
ecj-14088	63	3	potentially	potentially	ADV
ecj-14088	63	4	relevant	relevant	ADJ
ecj-14088	63	5	were	be	AUX
ecj-14088	63	6	then	then	ADV
ecj-14088	63	7	evaluated	evaluate	VERB
ecj-14088	63	8	in	in	ADP
ecj-14088	63	9	full	full	ADJ
ecj-14088	63	10	-	-	PUNCT
ecj-14088	63	11	text	text	NOUN
ecj-14088	63	12	form	form	NOUN
ecj-14088	63	13	during	during	ADP
ecj-14088	63	14	the	the	DET
ecj-14088	63	15	second	second	ADJ
ecj-14088	63	16	phase	phase	NOUN
ecj-14088	63	17	.	.	PUNCT
ecj-14088	64	1	discrepancies	discrepancy	NOUN
ecj-14088	64	2	between	between	ADP
ecj-14088	64	3	reviewers	reviewer	NOUN
ecj-14088	64	4	were	be	AUX
ecj-14088	64	5	resolved	resolve	VERB
ecj-14088	64	6	through	through	ADP
ecj-14088	64	7	discussion	discussion	NOUN
ecj-14088	64	8	and	and	CCONJ
ecj-14088	64	9	consensus	consensus	NOUN
ecj-14088	64	10	with	with	ADP
ecj-14088	64	11	an	an	DET
ecj-14088	64	12	expert	expert	ADJ
ecj-14088	64	13	reviewer	reviewer	NOUN
ecj-14088	64	14	.	.	PUNCT
ecj-14088	65	1	at	at	ADP
ecj-14088	65	2	the	the	DET
ecj-14088	65	3	end	end	NOUN
ecj-14088	65	4	of	of	ADP
ecj-14088	65	5	the	the	DET
ecj-14088	65	6	selection	selection	NOUN
ecj-14088	65	7	process	process	NOUN
ecj-14088	65	8	,	,	PUNCT
ecj-14088	65	9	28	28	NUM
ecj-14088	65	10	articles	article	NOUN
ecj-14088	65	11	were	be	AUX
ecj-14088	65	12	included	include	VERB
ecj-14088	65	13	in	in	ADP
ecj-14088	65	14	the	the	DET
ecj-14088	65	15	qualitative	qualitative	ADJ
ecj-14088	65	16	synthesis	synthesis	NOUN
ecj-14088	65	17	.	.	PUNCT
ecj-14088	66	1	the	the	DET
ecj-14088	66	2	study	study	NOUN
ecj-14088	66	3	selection	selection	NOUN
ecj-14088	66	4	process	process	NOUN
ecj-14088	66	5	is	be	AUX
ecj-14088	66	6	illustrated	illustrate	VERB
ecj-14088	66	7	in	in	ADP
ecj-14088	66	8	a	a	DET
ecj-14088	66	9	prisma	prisma	NOUN
ecj-14088	66	10	-	-	PUNCT
ecj-14088	66	11	style	style	NOUN
ecj-14088	66	12	flowchart	flowchart	NOUN
ecj-14088	66	13	(	(	PUNCT
ecj-14088	66	14	figure	figure	NOUN
ecj-14088	66	15	1	1	NUM
ecj-14088	66	16	)	)	PUNCT
ecj-14088	66	17	,	,	PUNCT
ecj-14088	66	18	which	which	PRON
ecj-14088	66	19	outlines	outline	VERB
ecj-14088	66	20	the	the	DET
ecj-14088	66	21	phases	phase	NOUN
ecj-14088	66	22	of	of	ADP
ecj-14088	66	23	identification	identification	NOUN
ecj-14088	66	24	,	,	PUNCT
ecj-14088	66	25	screening	screening	NOUN
ecj-14088	66	26	,	,	PUNCT
ecj-14088	66	27	inclusion	inclusion	NOUN
ecj-14088	66	28	,	,	PUNCT
ecj-14088	66	29	and	and	CCONJ
ecj-14088	66	30	exclusion.28	exclusion.28	DET
ecj-14088	66	31	the	the	DET
ecj-14088	66	32	characteristics	characteristic	NOUN
ecj-14088	66	33	,	,	PUNCT
ecj-14088	66	34	methods	method	NOUN
ecj-14088	66	35	,	,	PUNCT
ecj-14088	66	36	and	and	CCONJ
ecj-14088	66	37	main	main	ADJ
ecj-14088	66	38	findings	finding	NOUN
ecj-14088	66	39	of	of	ADP
ecj-14088	66	40	the	the	DET
ecj-14088	66	41	included	include	VERB
ecj-14088	66	42	studies	study	NOUN
ecj-14088	66	43	are	be	AUX
ecj-14088	66	44	summarized	summarize	VERB
ecj-14088	66	45	in	in	ADP
ecj-14088	66	46	appendix	appendix	NOUN
ecj-14088	66	47	2	2	NUM
ecj-14088	66	48	.	.	PUNCT
ecj-14088	67	1	the	the	DET
ecj-14088	67	2	selection	selection	NOUN
ecj-14088	67	3	process	process	NOUN
ecj-14088	67	4	was	be	AUX
ecj-14088	67	5	guided	guide	VERB
ecj-14088	67	6	by	by	ADP
ecj-14088	67	7	the	the	DET
ecj-14088	67	8	primary	primary	ADJ
ecj-14088	67	9	outcome	outcome	NOUN
ecj-14088	67	10	,	,	PUNCT
ecj-14088	67	11	namely	namely	ADV
ecj-14088	67	12	the	the	DET
ecj-14088	67	13	identification	identification	NOUN
ecj-14088	67	14	of	of	ADP
ecj-14088	67	15	evidence	evidence	NOUN
ecj-14088	67	16	concerning	concern	VERB
ecj-14088	67	17	the	the	DET
ecj-14088	67	18	most	most	ADV
ecj-14088	67	19	appropriate	appropriate	ADJ
ecj-14088	67	20	modality	modality	NOUN
ecj-14088	67	21	of	of	ADP
ecj-14088	67	22	cervical	cervical	ADJ
ecj-14088	67	23	and	and	CCONJ
ecj-14088	67	24	spinal	spinal	ADJ
ecj-14088	67	25	immobilization	immobilization	NOUN
ecj-14088	67	26	in	in	ADP
ecj-14088	67	27	adult	adult	NOUN
ecj-14088	67	28	trauma	trauma	NOUN
ecj-14088	67	29	patients	patient	NOUN
ecj-14088	67	30	in	in	ADP
ecj-14088	67	31	prehospital	prehospital	ADJ
ecj-14088	67	32	settings	setting	NOUN
ecj-14088	67	33	,	,	PUNCT
ecj-14088	67	34	as	as	SCONJ
ecj-14088	67	35	described	describe	VERB
ecj-14088	67	36	in	in	ADP
ecj-14088	67	37	the	the	DET
ecj-14088	67	38	pcc	pcc	NOUN
ecj-14088	67	39	framework	framework	NOUN
ecj-14088	67	40	(	(	PUNCT
ecj-14088	67	41	supplementary	supplementary	ADJ
ecj-14088	67	42	materials	material	NOUN
ecj-14088	67	43	,	,	PUNCT
ecj-14088	67	44	table	table	NOUN
ecj-14088	67	45	2).29	2).29	NUM
ecj-14088	67	46	narrative	narrative	NOUN
ecj-14088	67	47	synthesis	synthesis	NOUN
ecj-14088	67	48	of	of	ADP
ecj-14088	67	49	results	result	NOUN
ecj-14088	67	50	clinical	clinical	ADJ
ecj-14088	67	51	effectiveness	effectiveness	NOUN
ecj-14088	67	52	of	of	ADP
ecj-14088	67	53	spinal	spinal	ADJ
ecj-14088	67	54	immobilization	immobilization	NOUN
ecj-14088	67	55	several	several	ADJ
ecj-14088	67	56	studies	study	NOUN
ecj-14088	67	57	have	have	AUX
ecj-14088	67	58	investigated	investigate	VERB
ecj-14088	67	59	the	the	DET
ecj-14088	67	60	clinical	clinical	ADJ
ecj-14088	67	61	effectiveness	effectiveness	NOUN
ecj-14088	67	62	of	of	ADP
ecj-14088	67	63	prehospital	prehospital	ADJ
ecj-14088	67	64	spinal	spinal	NOUN
ecj-14088	67	65	immobilization	immobilization	NOUN
ecj-14088	67	66	in	in	ADP
ecj-14088	67	67	terms	term	NOUN
ecj-14088	67	68	of	of	ADP
ecj-14088	67	69	neurological	neurological	ADJ
ecj-14088	67	70	and	and	CCONJ
ecj-14088	67	71	functional	functional	ADJ
ecj-14088	67	72	outcomes	outcome	NOUN
ecj-14088	67	73	.	.	PUNCT
ecj-14088	68	1	chen	chen	PROPN
ecj-14088	68	2	et	et	PROPN
ecj-14088	68	3	al	al	PROPN
ecj-14088	68	4	.	.	PROPN
ecj-14088	68	5	conducted	conduct	VERB
ecj-14088	68	6	a	a	DET
ecj-14088	68	7	multicenter	multicenter	ADJ
ecj-14088	68	8	study	study	NOUN
ecj-14088	68	9	involving	involve	VERB
ecj-14088	68	10	759	759	NUM
ecj-14088	68	11	patients	patient	NOUN
ecj-14088	68	12	and	and	CCONJ
ecj-14088	68	13	found	find	VERB
ecj-14088	68	14	that	that	SCONJ
ecj-14088	68	15	prehospital	prehospital	ADJ
ecj-14088	68	16	immobilization	immobilization	NOUN
ecj-14088	68	17	was	be	AUX
ecj-14088	68	18	not	not	PART
ecj-14088	68	19	associated	associate	VERB
ecj-14088	68	20	with	with	ADP
ecj-14088	68	21	improvement	improvement	NOUN
ecj-14088	68	22	in	in	ADP
ecj-14088	68	23	overall	overall	ADJ
ecj-14088	68	24	functional	functional	ADJ
ecj-14088	68	25	outcome	outcome	NOUN
ecj-14088	68	26	(	(	PUNCT
ecj-14088	68	27	aor	aor	NOUN
ecj-14088	68	28	1.06	1.06	NUM
ecj-14088	68	29	;	;	PUNCT
ecj-14088	68	30	p	p	NOUN
ecj-14088	68	31	=	=	NOUN
ecj-14088	68	32	0.826	0.826	NUM
ecj-14088	68	33	)	)	PUNCT
ecj-14088	68	34	.	.	PUNCT
ecj-14088	69	1	however	however	ADV
ecj-14088	69	2	,	,	PUNCT
ecj-14088	69	3	in	in	ADP
ecj-14088	69	4	a	a	DET
ecj-14088	69	5	subgroup	subgroup	NOUN
ecj-14088	69	6	analysis	analysis	NOUN
ecj-14088	69	7	,	,	PUNCT
ecj-14088	69	8	patients	patient	NOUN
ecj-14088	69	9	with	with	ADP
ecj-14088	69	10	cervical	cervical	ADJ
ecj-14088	69	11	injuries	injury	NOUN
ecj-14088	69	12	showed	show	VERB
ecj-14088	69	13	significantly	significantly	ADV
ecj-14088	69	14	improved	improve	VERB
ecj-14088	69	15	outcomes	outcome	NOUN
ecj-14088	69	16	(	(	PUNCT
ecj-14088	69	17	aor	aor	PROPN
ecj-14088	69	18	3.14	3.14	NUM
ecj-14088	69	19	;	;	PUNCT
ecj-14088	69	20	95	95	NUM
ecj-14088	69	21	%	%	NOUN
ecj-14088	69	22	ci	ci	PROPN
ecj-14088	69	23	1.04–9.50).1	1.04–9.50).1	NUM
ecj-14088	69	24	mitchnik	mitchnik	X
ecj-14088	69	25	et	et	PROPN
ecj-14088	69	26	al	al	PROPN
ecj-14088	69	27	.	.	PROPN
ecj-14088	69	28	analyzed	analyze	VERB
ecj-14088	69	29	220	220	NUM
ecj-14088	69	30	patients	patient	NOUN
ecj-14088	69	31	with	with	ADP
ecj-14088	69	32	blunt	blunt	ADJ
ecj-14088	69	33	trauma	trauma	NOUN
ecj-14088	69	34	and	and	CCONJ
ecj-14088	69	35	found	find	VERB
ecj-14088	69	36	that	that	SCONJ
ecj-14088	69	37	only	only	ADV
ecj-14088	69	38	8	8	NUM
ecj-14088	69	39	%	%	NOUN
ecj-14088	69	40	of	of	ADP
ecj-14088	69	41	those	those	PRON
ecj-14088	69	42	wearing	wear	VERB
ecj-14088	69	43	a	a	DET
ecj-14088	69	44	cervical	cervical	ADJ
ecj-14088	69	45	collar	collar	NOUN
ecj-14088	69	46	had	have	VERB
ecj-14088	69	47	a	a	DET
ecj-14088	69	48	radiologically	radiologically	ADV
ecj-14088	69	49	confirmed	confirm	VERB
ecj-14088	69	50	cervical	cervical	ADJ
ecj-14088	69	51	injury	injury	NOUN
ecj-14088	69	52	,	,	PUNCT
ecj-14088	69	53	suggesting	suggest	VERB
ecj-14088	69	54	potential	potential	ADJ
ecj-14088	69	55	overuse	overuse	NOUN
ecj-14088	69	56	of	of	ADP
ecj-14088	69	57	the	the	DET
ecj-14088	69	58	device	device	NOUN
ecj-14088	69	59	without	without	ADP
ecj-14088	69	60	clear	clear	ADJ
ecj-14088	69	61	clinical	clinical	ADJ
ecj-14088	69	62	benefit.14	benefit.14	PROPN
ecj-14088	69	63	yue	yue	PROPN
ecj-14088	69	64	et	et	PROPN
ecj-14088	69	65	al	al	PROPN
ecj-14088	69	66	.	.	PROPN
ecj-14088	69	67	,	,	PUNCT
ecj-14088	69	68	in	in	ADP
ecj-14088	69	69	a	a	DET
ecj-14088	69	70	cohort	cohort	NOUN
ecj-14088	69	71	of	of	ADP
ecj-14088	69	72	3,356	3,356	NUM
ecj-14088	69	73	patients	patient	NOUN
ecj-14088	69	74	,	,	PUNCT
ecj-14088	69	75	reported	report	VERB
ecj-14088	69	76	that	that	SCONJ
ecj-14088	69	77	immobilization	immobilization	NOUN
ecj-14088	69	78	did	do	AUX
ecj-14088	69	79	not	not	PART
ecj-14088	69	80	improve	improve	VERB
ecj-14088	69	81	neurological	neurological	ADJ
ecj-14088	69	82	outcomes	outcome	NOUN
ecj-14088	69	83	and	and	CCONJ
ecj-14088	69	84	was	be	AUX
ecj-14088	69	85	associated	associate	VERB
ecj-14088	69	86	with	with	ADP
ecj-14088	69	87	an	an	DET
ecj-14088	69	88	increased	increase	VERB
ecj-14088	69	89	risk	risk	NOUN
ecj-14088	69	90	of	of	ADP
ecj-14088	69	91	complications.13	complications.13	NOUN
ecj-14088	69	92	these	these	DET
ecj-14088	69	93	findings	finding	NOUN
ecj-14088	69	94	are	be	AUX
ecj-14088	69	95	consistent	consistent	ADJ
ecj-14088	69	96	with	with	ADP
ecj-14088	69	97	the	the	DET
ecj-14088	69	98	review	review	NOUN
ecj-14088	69	99	by	by	ADP
ecj-14088	69	100	sundstrøm	sundstrøm	PROPN
ecj-14088	69	101	et	et	PROPN
ecj-14088	69	102	al	al	PROPN
ecj-14088	69	103	.	.	PROPN
ecj-14088	69	104	,	,	PUNCT
ecj-14088	69	105	which	which	PRON
ecj-14088	69	106	highlighted	highlight	VERB
ecj-14088	69	107	the	the	DET
ecj-14088	69	108	lack	lack	NOUN
ecj-14088	69	109	of	of	ADP
ecj-14088	69	110	robust	robust	ADJ
ecj-14088	69	111	evidence	evidence	NOUN
ecj-14088	69	112	supporting	support	VERB
ecj-14088	69	113	the	the	DET
ecj-14088	69	114	neurological	neurological	ADJ
ecj-14088	69	115	benefit	benefit	NOUN
ecj-14088	69	116	of	of	ADP
ecj-14088	69	117	routine	routine	ADJ
ecj-14088	69	118	immobilization.2	immobilization.2	ADJ
ecj-14088	69	119	comparison	comparison	NOUN
ecj-14088	69	120	of	of	ADP
ecj-14088	69	121	immobilization	immobilization	NOUN
ecj-14088	69	122	devices	device	NOUN
ecj-14088	69	123	and	and	CCONJ
ecj-14088	69	124	techniques	technique	NOUN
ecj-14088	69	125	stuby	stuby	VERB
ecj-14088	69	126	et	et	PROPN
ecj-14088	69	127	al	al	PROPN
ecj-14088	69	128	.	.	PROPN
ecj-14088	70	1	compared	compare	VERB
ecj-14088	70	2	vacuum	vacuum	NOUN
ecj-14088	70	3	mattresses	mattress	NOUN
ecj-14088	70	4	with	with	ADP
ecj-14088	70	5	rigid	rigid	ADJ
ecj-14088	70	6	spinal	spinal	NOUN
ecj-14088	70	7	boards	board	NOUN
ecj-14088	70	8	(	(	PUNCT
ecj-14088	70	9	lsb	lsb	PROPN
ecj-14088	70	10	)	)	PUNCT
ecj-14088	70	11	,	,	PUNCT
ecj-14088	70	12	reporting	report	VERB
ecj-14088	70	13	significantly	significantly	ADV
ecj-14088	70	14	reduced	reduce	VERB
ecj-14088	70	15	lateral	lateral	ADJ
ecj-14088	70	16	(	(	PUNCT
ecj-14088	70	17	5.1	5.1	NUM
ecj-14088	70	18	°	°	NOUN
ecj-14088	70	19	vs.	vs.	ADP
ecj-14088	70	20	12.7	12.7	NUM
ecj-14088	70	21	°	°	NUM
ecj-14088	70	22	)	)	PUNCT
ecj-14088	70	23	and	and	CCONJ
ecj-14088	70	24	anteroposterior	anteroposterior	ADJ
ecj-14088	70	25	movements	movement	NOUN
ecj-14088	70	26	(	(	PUNCT
ecj-14088	70	27	3.4	3.4	NUM
ecj-14088	70	28	°	°	NOUN
ecj-14088	70	29	vs.	vs.	ADP
ecj-14088	70	30	9.2	9.2	NUM
ecj-14088	70	31	°	°	NUM
ecj-14088	70	32	)	)	PUNCT
ecj-14088	70	33	,	,	PUNCT
ecj-14088	70	34	and	and	CCONJ
ecj-14088	70	35	greater	great	ADJ
ecj-14088	70	36	patient	patient	ADJ
ecj-14088	70	37	comfort	comfort	NOUN
ecj-14088	70	38	(	(	PUNCT
ecj-14088	70	39	vas	vas	X
ecj-14088	70	40	8.1	8.1	NUM
ecj-14088	70	41	vs.	vs.	ADP
ecj-14088	70	42	5.4).(25	5.4).(25	NUM
ecj-14088	70	43	)	)	PUNCT
ecj-14088	71	1	kon	kon	PROPN
ecj-14088	71	2	jin	jin	PROPN
ecj-14088	71	3	et	et	PROPN
ecj-14088	71	4	al	al	PROPN
ecj-14088	71	5	.	.	PROPN
ecj-14088	71	6	,	,	PUNCT
ecj-14088	71	7	in	in	ADP
ecj-14088	71	8	a	a	DET
ecj-14088	71	9	systematic	systematic	ADJ
ecj-14088	71	10	review	review	NOUN
ecj-14088	71	11	,	,	PUNCT
ecj-14088	71	12	found	find	VERB
ecj-14088	71	13	that	that	SCONJ
ecj-14088	71	14	rigid	rigid	ADJ
ecj-14088	71	15	cervical	cervical	ADJ
ecj-14088	71	16	collars	collar	NOUN
ecj-14088	71	17	reduce	reduce	VERB
ecj-14088	71	18	cervical	cervical	ADJ
ecj-14088	71	19	spine	spine	ADJ
ecj-14088	71	20	motion	motion	NOUN
ecj-14088	71	21	by	by	ADP
ecj-14088	71	22	30	30	NUM
ecj-14088	71	23	%	%	NOUN
ecj-14088	71	24	to	to	PART
ecj-14088	71	25	60	60	NUM
ecj-14088	71	26	%	%	NOUN
ecj-14088	71	27	,	,	PUNCT
ecj-14088	71	28	but	but	CCONJ
ecj-14088	71	29	do	do	AUX
ecj-14088	71	30	not	not	PART
ecj-14088	71	31	ensure	ensure	VERB
ecj-14088	71	32	complete	complete	ADJ
ecj-14088	71	33	immobilization.30	immobilization.30	NOUN
ecj-14088	71	34	dixon	dixon	PROPN
ecj-14088	71	35	et	et	PROPN
ecj-14088	71	36	al	al	PROPN
ecj-14088	71	37	.	.	PROPN
ecj-14088	71	38	assessed	assess	VERB
ecj-14088	71	39	the	the	DET
ecj-14088	71	40	efficacy	efficacy	NOUN
ecj-14088	71	41	of	of	ADP
ecj-14088	71	42	controlled	control	VERB
ecj-14088	71	43	self	self	NOUN
ecj-14088	71	44	-	-	PUNCT
ecj-14088	71	45	extrication	extrication	NOUN
ecj-14088	71	46	versus	versus	ADP
ecj-14088	71	47	passive	passive	ADJ
ecj-14088	71	48	movement	movement	NOUN
ecj-14088	71	49	using	use	VERB
ecj-14088	71	50	an	an	DET
ecj-14088	71	51	lsb	lsb	NOUN
ecj-14088	71	52	,	,	PUNCT
ecj-14088	71	53	demonstrating	demonstrate	VERB
ecj-14088	71	54	less	less	ADJ
ecj-14088	71	55	cervical	cervical	ADJ
ecj-14088	71	56	motion	motion	NOUN
ecj-14088	71	57	in	in	ADP
ecj-14088	71	58	conscious	conscious	ADJ
ecj-14088	71	59	and	and	CCONJ
ecj-14088	71	60	cooperative	cooperative	ADJ
ecj-14088	71	61	patients	patient	NOUN
ecj-14088	71	62	(	(	PUNCT
ecj-14088	71	63	13.3	13.3	NUM
ecj-14088	71	64	°	°	NOUN
ecj-14088	71	65	vs.	vs.	ADP
ecj-14088	71	66	18.8	18.8	NUM
ecj-14088	71	67	°	°	NOUN
ecj-14088	71	68	).8	).8	NOUN
ecj-14088	71	69	selective	selective	ADJ
ecj-14088	71	70	approaches	approach	NOUN
ecj-14088	71	71	and	and	CCONJ
ecj-14088	71	72	decision	decision	NOUN
ecj-14088	71	73	-	-	PUNCT
ecj-14088	71	74	making	make	VERB
ecj-14088	71	75	tools	tool	NOUN
ecj-14088	71	76	vaillancourt	vaillancourt	VERB
ecj-14088	71	77	et	et	PROPN
ecj-14088	71	78	al	al	PROPN
ecj-14088	71	79	.	.	PROPN
ecj-14088	71	80	validated	validate	VERB
ecj-14088	71	81	the	the	DET
ecj-14088	71	82	canadian	canadian	ADJ
ecj-14088	71	83	c	c	NOUN
ecj-14088	71	84	-	-	PUNCT
ecj-14088	71	85	spine	spine	ADJ
ecj-14088	71	86	rule	rule	NOUN
ecj-14088	71	87	(	(	PUNCT
ecj-14088	71	88	ccr	ccr	PROPN
ecj-14088	71	89	)	)	PUNCT
ecj-14088	71	90	in	in	ADP
ecj-14088	71	91	prehospital	prehospital	ADJ
ecj-14088	71	92	settings	setting	NOUN
ecj-14088	71	93	,	,	PUNCT
ecj-14088	71	94	showing	show	VERB
ecj-14088	71	95	a	a	DET
ecj-14088	71	96	40	40	NUM
ecj-14088	71	97	%	%	NOUN
ecj-14088	71	98	reduction	reduction	NOUN
ecj-14088	71	99	in	in	ADP
ecj-14088	71	100	unnecessary	unnecessary	ADJ
ecj-14088	71	101	review	review	NOUN
ecj-14088	71	102	figure	figure	NOUN
ecj-14088	71	103	1	1	NUM
ecj-14088	71	104	.	.	PUNCT
ecj-14088	71	105	prisma	prisma	PROPN
ecj-14088	71	106	flow	flow	NOUN
ecj-14088	71	107	.	.	PUNCT
ecj-14088	72	1	[	[	X
ecj-14088	72	2	page	page	NOUN
ecj-14088	72	3	48	48	NUM
ecj-14088	72	4	]	]	PUNCT
ecj-14088	73	1	[	[	X
ecj-14088	73	2	emergency	emergency	NOUN
ecj-14088	73	3	care	care	NOUN
ecj-14088	73	4	journal	journal	NOUN
ecj-14088	73	5	2025	2025	NUM
ecj-14088	73	6	;	;	PUNCT
ecj-14088	73	7	21:14088	21:14088	NUM
ecj-14088	73	8	]	]	PUNCT
ecj-14088	73	9	collar	collar	NOUN
ecj-14088	73	10	use	use	NOUN
ecj-14088	73	11	,	,	PUNCT
ecj-14088	73	12	with	with	ADP
ecj-14088	73	13	100	100	NUM
ecj-14088	73	14	%	%	NOUN
ecj-14088	73	15	sensitivity	sensitivity	NOUN
ecj-14088	73	16	and	and	CCONJ
ecj-14088	73	17	no	no	PRON
ecj-14088	73	18	missed	miss	VERB
ecj-14088	73	19	injuries.17	injuries.17	PROPN
ecj-14088	73	20	häske	häske	ADV
ecj-14088	73	21	et	et	PROPN
ecj-14088	73	22	al	al	PROPN
ecj-14088	73	23	.	.	PROPN
ecj-14088	73	24	proposed	propose	VERB
ecj-14088	73	25	the	the	DET
ecj-14088	73	26	immo	immo	PROPN
ecj-14088	73	27	tls	tls	PROPN
ecj-14088	73	28	,	,	PUNCT
ecj-14088	73	29	a	a	DET
ecj-14088	73	30	traffic	traffic	NOUN
ecj-14088	73	31	light	light	NOUN
ecj-14088	73	32	-	-	PUNCT
ecj-14088	73	33	based	base	VERB
ecj-14088	73	34	clinical	clinical	ADJ
ecj-14088	73	35	algorithm	algorithm	NOUN
ecj-14088	73	36	,	,	PUNCT
ecj-14088	73	37	which	which	PRON
ecj-14088	73	38	—	—	PUNCT
ecj-14088	73	39	across	across	ADP
ecj-14088	73	40	more	more	ADJ
ecj-14088	73	41	than	than	ADP
ecj-14088	73	42	two	two	NUM
ecj-14088	73	43	million	million	NUM
ecj-14088	73	44	cases	case	NOUN
ecj-14088	73	45	—	—	PUNCT
ecj-14088	73	46	demonstrated	demonstrate	VERB
ecj-14088	73	47	a	a	DET
ecj-14088	73	48	reduction	reduction	NOUN
ecj-14088	73	49	in	in	ADP
ecj-14088	73	50	unnecessary	unnecessary	ADJ
ecj-14088	73	51	collar	collar	NOUN
ecj-14088	73	52	use	use	NOUN
ecj-14088	73	53	by	by	ADP
ecj-14088	73	54	identifying	identify	VERB
ecj-14088	73	55	patients	patient	NOUN
ecj-14088	73	56	through	through	ADP
ecj-14088	73	57	objective	objective	ADJ
ecj-14088	73	58	criteria.19	criteria.19	NOUN
ecj-14088	73	59	the	the	DET
ecj-14088	73	60	review	review	NOUN
ecj-14088	73	61	by	by	ADP
ecj-14088	73	62	habibi	habibi	PROPN
ecj-14088	73	63	arejan	arejan	PROPN
ecj-14088	73	64	et	et	PROPN
ecj-14088	73	65	al	al	PROPN
ecj-14088	73	66	.	.	PROPN
ecj-14088	73	67	reported	report	VERB
ecj-14088	73	68	that	that	SCONJ
ecj-14088	73	69	,	,	PUNCT
ecj-14088	73	70	despite	despite	SCONJ
ecj-14088	73	71	the	the	DET
ecj-14088	73	72	availability	availability	NOUN
ecj-14088	73	73	of	of	ADP
ecj-14088	73	74	validated	validate	VERB
ecj-14088	73	75	tools	tool	NOUN
ecj-14088	73	76	such	such	ADJ
ecj-14088	73	77	as	as	ADP
ecj-14088	73	78	nexus	nexus	NOUN
ecj-14088	73	79	and	and	CCONJ
ecj-14088	73	80	ccr	ccr	PROPN
ecj-14088	73	81	,	,	PUNCT
ecj-14088	73	82	their	their	PRON
ecj-14088	73	83	real	real	ADJ
ecj-14088	73	84	-	-	PUNCT
ecj-14088	73	85	world	world	NOUN
ecj-14088	73	86	application	application	NOUN
ecj-14088	73	87	remains	remain	VERB
ecj-14088	73	88	inconsistent	inconsistent	ADJ
ecj-14088	73	89	across	across	ADP
ecj-14088	73	90	healthcare	healthcare	PROPN
ecj-14088	73	91	systems.22	systems.22	PROPN
ecj-14088	73	92	lee	lee	PROPN
ecj-14088	73	93	et	et	PROPN
ecj-14088	73	94	al	al	PROPN
ecj-14088	73	95	.	.	PROPN
ecj-14088	73	96	observed	observe	VERB
ecj-14088	73	97	that	that	SCONJ
ecj-14088	73	98	fewer	few	ADJ
ecj-14088	73	99	than	than	ADP
ecj-14088	73	100	50	50	NUM
ecj-14088	73	101	%	%	NOUN
ecj-14088	73	102	of	of	ADP
ecj-14088	73	103	healthcare	healthcare	NOUN
ecj-14088	73	104	professionals	professional	NOUN
ecj-14088	73	105	were	be	AUX
ecj-14088	73	106	familiar	familiar	ADJ
ecj-14088	73	107	with	with	ADP
ecj-14088	73	108	ccr	ccr	PROPN
ecj-14088	73	109	/	/	SYM
ecj-14088	73	110	nexus	nexus	NOUN
ecj-14088	73	111	criteria	criterion	NOUN
ecj-14088	73	112	,	,	PUNCT
ecj-14088	73	113	underscoring	underscore	VERB
ecj-14088	73	114	the	the	DET
ecj-14088	73	115	need	need	NOUN
ecj-14088	73	116	for	for	ADP
ecj-14088	73	117	ongoing	ongoing	ADJ
ecj-14088	73	118	training	training	NOUN
ecj-14088	73	119	and	and	CCONJ
ecj-14088	73	120	education.15	education.15	NOUN
ecj-14088	73	121	complications	complication	NOUN
ecj-14088	73	122	associated	associate	VERB
ecj-14088	73	123	with	with	ADP
ecj-14088	73	124	immobilization	immobilization	NOUN
ecj-14088	73	125	yue	yue	PROPN
ecj-14088	73	126	et	et	PROPN
ecj-14088	73	127	al	al	PROPN
ecj-14088	73	128	.	.	PROPN
ecj-14088	73	129	found	find	VERB
ecj-14088	73	130	higher	high	ADJ
ecj-14088	73	131	rates	rate	NOUN
ecj-14088	73	132	of	of	ADP
ecj-14088	73	133	complications	complication	NOUN
ecj-14088	73	134	such	such	ADJ
ecj-14088	73	135	as	as	ADP
ecj-14088	73	136	pressure	pressure	NOUN
ecj-14088	73	137	sores	sore	NOUN
ecj-14088	73	138	and	and	CCONJ
ecj-14088	73	139	infections	infection	NOUN
ecj-14088	73	140	in	in	ADP
ecj-14088	73	141	immobilized	immobilized	ADJ
ecj-14088	73	142	patients.14	patients.14	PROPN
ecj-14088	73	143	kwan	kwan	PROPN
ecj-14088	73	144	et	et	PROPN
ecj-14088	73	145	al	al	PROPN
ecj-14088	73	146	.	.	PROPN
ecj-14088	73	147	emphasized	emphasize	VERB
ecj-14088	73	148	that	that	SCONJ
ecj-14088	73	149	immobilization	immobilization	NOUN
ecj-14088	73	150	can	can	AUX
ecj-14088	73	151	impair	impair	VERB
ecj-14088	73	152	ventilation	ventilation	NOUN
ecj-14088	73	153	,	,	PUNCT
ecj-14088	73	154	reduce	reduce	VERB
ecj-14088	73	155	vital	vital	ADJ
ecj-14088	73	156	capacity	capacity	NOUN
ecj-14088	73	157	,	,	PUNCT
ecj-14088	73	158	and	and	CCONJ
ecj-14088	73	159	increase	increase	VERB
ecj-14088	73	160	intracranial	intracranial	ADJ
ecj-14088	73	161	pressure	pressure	NOUN
ecj-14088	73	162	,	,	PUNCT
ecj-14088	73	163	particularly	particularly	ADV
ecj-14088	73	164	in	in	ADP
ecj-14088	73	165	patients	patient	NOUN
ecj-14088	73	166	with	with	ADP
ecj-14088	73	167	head	head	NOUN
ecj-14088	73	168	trauma.7	trauma.7	PROPN
ecj-14088	73	169	peery	peery	NOUN
ecj-14088	73	170	et	et	PROPN
ecj-14088	73	171	al	al	PROPN
ecj-14088	73	172	.	.	PROPN
ecj-14088	73	173	found	find	VERB
ecj-14088	73	174	that	that	SCONJ
ecj-14088	73	175	only	only	ADV
ecj-14088	73	176	48	48	NUM
ecj-14088	73	177	%	%	NOUN
ecj-14088	73	178	of	of	ADP
ecj-14088	73	179	immobilization	immobilization	NOUN
ecj-14088	73	180	procedures	procedure	NOUN
ecj-14088	73	181	met	meet	VERB
ecj-14088	73	182	technical	technical	ADJ
ecj-14088	73	183	quality	quality	NOUN
ecj-14088	73	184	standards	standard	NOUN
ecj-14088	73	185	,	,	PUNCT
ecj-14088	73	186	highlighting	highlight	VERB
ecj-14088	73	187	the	the	DET
ecj-14088	73	188	risks	risk	NOUN
ecj-14088	73	189	associated	associate	VERB
ecj-14088	73	190	with	with	ADP
ecj-14088	73	191	incorrect	incorrect	ADJ
ecj-14088	73	192	application.31	application.31	NOUN
ecj-14088	73	193	hood	hood	NOUN
ecj-14088	73	194	and	and	CCONJ
ecj-14088	73	195	considine	considine	PROPN
ecj-14088	73	196	,	,	PUNCT
ecj-14088	73	197	in	in	ADP
ecj-14088	73	198	a	a	DET
ecj-14088	73	199	systematic	systematic	ADJ
ecj-14088	73	200	review	review	NOUN
ecj-14088	73	201	,	,	PUNCT
ecj-14088	73	202	documented	document	VERB
ecj-14088	73	203	frequent	frequent	ADJ
ecj-14088	73	204	adverse	adverse	ADJ
ecj-14088	73	205	effects	effect	NOUN
ecj-14088	73	206	—	—	PUNCT
ecj-14088	73	207	such	such	ADJ
ecj-14088	73	208	as	as	ADP
ecj-14088	73	209	pain	pain	NOUN
ecj-14088	73	210	,	,	PUNCT
ecj-14088	73	211	respiratory	respiratory	ADJ
ecj-14088	73	212	difficulty	difficulty	NOUN
ecj-14088	73	213	,	,	PUNCT
ecj-14088	73	214	claustrophobia	claustrophobia	NOUN
ecj-14088	73	215	,	,	PUNCT
ecj-14088	73	216	and	and	CCONJ
ecj-14088	73	217	pressure	pressure	NOUN
ecj-14088	73	218	ulcers	ulcer	NOUN
ecj-14088	73	219	—	—	PUNCT
ecj-14088	73	220	in	in	ADP
ecj-14088	73	221	the	the	DET
ecj-14088	73	222	absence	absence	NOUN
ecj-14088	73	223	of	of	ADP
ecj-14088	73	224	demonstrated	demonstrate	VERB
ecj-14088	73	225	neurological	neurological	ADJ
ecj-14088	73	226	benefit.10	benefit.10	ADJ
ecj-14088	73	227	populations	population	NOUN
ecj-14088	73	228	and	and	CCONJ
ecj-14088	73	229	specific	specific	ADJ
ecj-14088	73	230	contexts	context	NOUN
ecj-14088	73	231	häske	häske	ADV
ecj-14088	73	232	et	et	PROPN
ecj-14088	73	233	al	al	PROPN
ecj-14088	73	234	.	.	PROPN
ecj-14088	73	235	identified	identify	VERB
ecj-14088	73	236	age	age	NOUN
ecj-14088	73	237	over	over	ADP
ecj-14088	73	238	65	65	NUM
ecj-14088	73	239	,	,	PUNCT
ecj-14088	73	240	head	head	NOUN
ecj-14088	73	241	trauma	trauma	NOUN
ecj-14088	73	242	,	,	PUNCT
ecj-14088	73	243	high	high	ADJ
ecj-14088	73	244	-	-	PUNCT
ecj-14088	73	245	energy	energy	NOUN
ecj-14088	73	246	mechanisms	mechanism	NOUN
ecj-14088	73	247	,	,	PUNCT
ecj-14088	73	248	and	and	CCONJ
ecj-14088	73	249	peripheral	peripheral	ADJ
ecj-14088	73	250	neurological	neurological	ADJ
ecj-14088	73	251	deficits	deficit	NOUN
ecj-14088	73	252	as	as	ADP
ecj-14088	73	253	key	key	ADJ
ecj-14088	73	254	predictors	predictor	NOUN
ecj-14088	73	255	of	of	ADP
ecj-14088	73	256	spinal	spinal	ADJ
ecj-14088	73	257	instability.32	instability.32	PROPN
ecj-14088	73	258	lee	lee	PROPN
ecj-14088	73	259	et	et	PROPN
ecj-14088	73	260	al	al	PROPN
ecj-14088	73	261	.	.	PROPN
ecj-14088	73	262	reported	report	VERB
ecj-14088	73	263	that	that	SCONJ
ecj-14088	73	264	collar	collar	NOUN
ecj-14088	73	265	application	application	NOUN
ecj-14088	73	266	in	in	ADP
ecj-14088	73	267	patients	patient	NOUN
ecj-14088	73	268	with	with	ADP
ecj-14088	73	269	head	head	NOUN
ecj-14088	73	270	trauma	trauma	NOUN
ecj-14088	73	271	and	and	CCONJ
ecj-14088	73	272	gcs	gcs	PROPN
ecj-14088	73	273	<	<	X
ecj-14088	73	274	9	9	NUM
ecj-14088	73	275	was	be	AUX
ecj-14088	73	276	associated	associate	VERB
ecj-14088	73	277	with	with	ADP
ecj-14088	73	278	increased	increase	VERB
ecj-14088	73	279	mortality	mortality	NOUN
ecj-14088	73	280	(	(	PUNCT
ecj-14088	73	281	or	or	CCONJ
ecj-14088	73	282	1.85	1.85	NUM
ecj-14088	73	283	;	;	PUNCT
ecj-14088	73	284	95	95	NUM
ecj-14088	73	285	%	%	NOUN
ecj-14088	73	286	ci	ci	PROPN
ecj-14088	73	287	1.24–2.76	1.24–2.76	PROPN
ecj-14088	73	288	)	)	PUNCT
ecj-14088	73	289	,	,	PUNCT
ecj-14088	73	290	indicating	indicate	VERB
ecj-14088	73	291	potential	potential	ADJ
ecj-14088	73	292	iatrogenic	iatrogenic	ADJ
ecj-14088	73	293	risk.15	risk.15	NOUN
ecj-14088	73	294	dixon	dixon	PROPN
ecj-14088	73	295	et	et	PROPN
ecj-14088	73	296	al	al	PROPN
ecj-14088	73	297	.	.	PROPN
ecj-14088	73	298	showed	show	VERB
ecj-14088	73	299	that	that	SCONJ
ecj-14088	73	300	,	,	PUNCT
ecj-14088	73	301	in	in	ADP
ecj-14088	73	302	remote	remote	ADJ
ecj-14088	73	303	settings	setting	NOUN
ecj-14088	73	304	and	and	CCONJ
ecj-14088	73	305	with	with	ADP
ecj-14088	73	306	cooperative	cooperative	ADJ
ecj-14088	73	307	patients	patient	NOUN
ecj-14088	73	308	,	,	PUNCT
ecj-14088	73	309	self	self	NOUN
ecj-14088	73	310	-	-	PUNCT
ecj-14088	73	311	extrication	extrication	NOUN
ecj-14088	73	312	may	may	AUX
ecj-14088	73	313	be	be	AUX
ecj-14088	73	314	safer	safe	ADJ
ecj-14088	73	315	than	than	SCONJ
ecj-14088	73	316	forced	force	VERB
ecj-14088	73	317	immobilization.8	immobilization.8	NOUN
ecj-14088	73	318	finally	finally	ADV
ecj-14088	73	319	,	,	PUNCT
ecj-14088	74	1	habibi	habibi	PROPN
ecj-14088	74	2	arejan	arejan	PROPN
ecj-14088	74	3	et	et	PROPN
ecj-14088	74	4	al	al	PROPN
ecj-14088	74	5	.	.	PROPN
ecj-14088	74	6	highlighted	highlight	VERB
ecj-14088	74	7	the	the	DET
ecj-14088	74	8	lack	lack	NOUN
ecj-14088	74	9	of	of	ADP
ecj-14088	74	10	research	research	NOUN
ecj-14088	74	11	in	in	ADP
ecj-14088	74	12	low	low	ADJ
ecj-14088	74	13	-	-	PUNCT
ecj-14088	74	14	resource	resource	NOUN
ecj-14088	74	15	settings	setting	NOUN
ecj-14088	74	16	,	,	PUNCT
ecj-14088	74	17	among	among	ADP
ecj-14088	74	18	frail	frail	ADJ
ecj-14088	74	19	populations	population	NOUN
ecj-14088	74	20	,	,	PUNCT
ecj-14088	74	21	and	and	CCONJ
ecj-14088	74	22	in	in	ADP
ecj-14088	74	23	cases	case	NOUN
ecj-14088	74	24	of	of	ADP
ecj-14088	74	25	penetrating	penetrate	VERB
ecj-14088	74	26	trauma	trauma	NOUN
ecj-14088	74	27	,	,	PUNCT
ecj-14088	74	28	calling	call	VERB
ecj-14088	74	29	for	for	ADP
ecj-14088	74	30	further	further	ADJ
ecj-14088	74	31	investigations.22	investigations.22	NOUN
ecj-14088	74	32	overall	overall	ADV
ecj-14088	74	33	,	,	PUNCT
ecj-14088	74	34	the	the	DET
ecj-14088	74	35	findings	finding	NOUN
ecj-14088	74	36	suggest	suggest	VERB
ecj-14088	74	37	that	that	SCONJ
ecj-14088	74	38	spinal	spinal	ADJ
ecj-14088	74	39	immobilization	immobilization	NOUN
ecj-14088	74	40	should	should	AUX
ecj-14088	74	41	be	be	AUX
ecj-14088	74	42	based	base	VERB
ecj-14088	74	43	on	on	ADP
ecj-14088	74	44	selective	selective	ADJ
ecj-14088	74	45	clinical	clinical	ADJ
ecj-14088	74	46	criteria	criterion	NOUN
ecj-14088	74	47	rather	rather	ADV
ecj-14088	74	48	than	than	ADP
ecj-14088	74	49	applied	apply	VERB
ecj-14088	74	50	indiscriminately	indiscriminately	ADV
ecj-14088	74	51	.	.	PUNCT
ecj-14088	75	1	the	the	DET
ecj-14088	75	2	available	available	ADJ
ecj-14088	75	3	evidence	evidence	NOUN
ecj-14088	75	4	supports	support	VERB
ecj-14088	75	5	a	a	DET
ecj-14088	75	6	patient	patient	NOUN
ecj-14088	75	7	-	-	PUNCT
ecj-14088	75	8	centered	center	VERB
ecj-14088	75	9	approach	approach	NOUN
ecj-14088	75	10	that	that	PRON
ecj-14088	75	11	considers	consider	VERB
ecj-14088	75	12	individual	individual	ADJ
ecj-14088	75	13	characteristics	characteristic	NOUN
ecj-14088	75	14	,	,	PUNCT
ecj-14088	75	15	operational	operational	ADJ
ecj-14088	75	16	contexts	contexts	NOUN
ecj-14088	75	17	,	,	PUNCT
ecj-14088	75	18	and	and	CCONJ
ecj-14088	75	19	available	available	ADJ
ecj-14088	75	20	resources	resource	NOUN
ecj-14088	75	21	.	.	PUNCT
ecj-14088	76	1	discussion	discussion	NOUN
ecj-14088	76	2	the	the	DET
ecj-14088	76	3	findings	finding	NOUN
ecj-14088	76	4	of	of	ADP
ecj-14088	76	5	this	this	DET
ecj-14088	76	6	narrative	narrative	NOUN
ecj-14088	76	7	review	review	NOUN
ecj-14088	76	8	confirm	confirm	VERB
ecj-14088	76	9	a	a	DET
ecj-14088	76	10	substantial	substantial	ADJ
ecj-14088	76	11	shift	shift	NOUN
ecj-14088	76	12	in	in	ADP
ecj-14088	76	13	the	the	DET
ecj-14088	76	14	prehospital	prehospital	ADJ
ecj-14088	76	15	management	management	NOUN
ecj-14088	76	16	of	of	ADP
ecj-14088	76	17	patients	patient	NOUN
ecj-14088	76	18	with	with	ADP
ecj-14088	76	19	suspected	suspect	VERB
ecj-14088	76	20	spinal	spinal	NOUN
ecj-14088	76	21	trauma	trauma	NOUN
ecj-14088	76	22	.	.	PUNCT
ecj-14088	77	1	routine	routine	ADJ
ecj-14088	77	2	spinal	spinal	ADJ
ecj-14088	77	3	immobilization	immobilization	NOUN
ecj-14088	77	4	,	,	PUNCT
ecj-14088	77	5	long	long	ADV
ecj-14088	77	6	considered	consider	VERB
ecj-14088	77	7	the	the	DET
ecj-14088	77	8	gold	gold	NOUN
ecj-14088	77	9	standard	standard	NOUN
ecj-14088	77	10	,	,	PUNCT
ecj-14088	77	11	is	be	AUX
ecj-14088	77	12	now	now	ADV
ecj-14088	77	13	supported	support	VERB
ecj-14088	77	14	by	by	ADP
ecj-14088	77	15	weak	weak	ADJ
ecj-14088	77	16	clinical	clinical	ADJ
ecj-14088	77	17	evidence	evidence	NOUN
ecj-14088	77	18	—	—	PUNCT
ecj-14088	77	19	especially	especially	ADV
ecj-14088	77	20	in	in	ADP
ecj-14088	77	21	low	low	ADJ
ecj-14088	77	22	-	-	PUNCT
ecj-14088	77	23	risk	risk	NOUN
ecj-14088	77	24	patients	patient	NOUN
ecj-14088	77	25	.	.	PUNCT
ecj-14088	78	1	this	this	DET
ecj-14088	78	2	evolving	evolve	VERB
ecj-14088	78	3	paradigm	paradigm	NOUN
ecj-14088	78	4	has	have	AUX
ecj-14088	78	5	also	also	ADV
ecj-14088	78	6	led	lead	VERB
ecj-14088	78	7	to	to	ADP
ecj-14088	78	8	a	a	DET
ecj-14088	78	9	terminological	terminological	ADJ
ecj-14088	78	10	shift	shift	NOUN
ecj-14088	78	11	:	:	PUNCT
ecj-14088	78	12	the	the	DET
ecj-14088	78	13	concept	concept	NOUN
ecj-14088	78	14	of	of	ADP
ecj-14088	78	15	smr	smr	NOUN
ecj-14088	78	16	has	have	AUX
ecj-14088	78	17	increasingly	increasingly	ADV
ecj-14088	78	18	replaced	replace	VERB
ecj-14088	78	19	spinal	spinal	ADJ
ecj-14088	78	20	immobilization	immobilization	NOUN
ecj-14088	78	21	in	in	ADP
ecj-14088	78	22	recent	recent	ADJ
ecj-14088	78	23	guidelines	guideline	NOUN
ecj-14088	78	24	and	and	CCONJ
ecj-14088	78	25	position	position	NOUN
ecj-14088	78	26	statements	statement	NOUN
ecj-14088	78	27	.	.	PUNCT
ecj-14088	79	1	smr	smr	NOUN
ecj-14088	79	2	emphasizes	emphasize	VERB
ecj-14088	79	3	the	the	DET
ecj-14088	79	4	goal	goal	NOUN
ecj-14088	79	5	of	of	ADP
ecj-14088	79	6	minimizing	minimize	VERB
ecj-14088	79	7	unnecessary	unnecessary	ADJ
ecj-14088	79	8	spinal	spinal	ADJ
ecj-14088	79	9	motion	motion	NOUN
ecj-14088	79	10	rather	rather	ADV
ecj-14088	79	11	than	than	ADP
ecj-14088	79	12	achieving	achieve	VERB
ecj-14088	79	13	complete	complete	ADJ
ecj-14088	79	14	immobilization	immobilization	NOUN
ecj-14088	79	15	,	,	PUNCT
ecj-14088	79	16	reflecting	reflect	VERB
ecj-14088	79	17	a	a	DET
ecj-14088	79	18	more	more	ADV
ecj-14088	79	19	realistic	realistic	ADJ
ecj-14088	79	20	and	and	CCONJ
ecj-14088	79	21	patient	patient	NOUN
ecj-14088	79	22	-	-	PUNCT
ecj-14088	79	23	centered	center	VERB
ecj-14088	79	24	approach	approach	NOUN
ecj-14088	79	25	to	to	ADP
ecj-14088	79	26	prehospital	prehospital	ADJ
ecj-14088	79	27	care.9	care.9	NOUN
ecj-14088	79	28	recent	recent	ADJ
ecj-14088	79	29	studies	study	NOUN
ecj-14088	79	30	have	have	AUX
ecj-14088	79	31	demonstrated	demonstrate	VERB
ecj-14088	79	32	the	the	DET
ecj-14088	79	33	lack	lack	NOUN
ecj-14088	79	34	of	of	ADP
ecj-14088	79	35	neurological	neurological	ADJ
ecj-14088	79	36	benefit	benefit	NOUN
ecj-14088	79	37	associated	associate	VERB
ecj-14088	79	38	with	with	ADP
ecj-14088	79	39	routine	routine	ADJ
ecj-14088	79	40	immobilization	immobilization	NOUN
ecj-14088	79	41	,	,	PUNCT
ecj-14088	79	42	except	except	SCONJ
ecj-14088	79	43	in	in	ADP
ecj-14088	79	44	select	select	ADJ
ecj-14088	79	45	subgroups	subgroup	NOUN
ecj-14088	79	46	such	such	ADJ
ecj-14088	79	47	as	as	ADP
ecj-14088	79	48	those	those	PRON
ecj-14088	79	49	with	with	ADP
ecj-14088	79	50	confirmed	confirm	VERB
ecj-14088	79	51	cervical	cervical	ADJ
ecj-14088	79	52	injuries.1,13,14	injuries.1,13,14	ADV
ecj-14088	79	53	in	in	ADP
ecj-14088	79	54	parallel	parallel	NOUN
ecj-14088	79	55	,	,	PUNCT
ecj-14088	79	56	the	the	DET
ecj-14088	79	57	risk	risk	NOUN
ecj-14088	79	58	of	of	ADP
ecj-14088	79	59	complications	complication	NOUN
ecj-14088	79	60	associated	associate	VERB
ecj-14088	79	61	with	with	ADP
ecj-14088	79	62	the	the	DET
ecj-14088	79	63	procedure	procedure	NOUN
ecj-14088	79	64	is	be	AUX
ecj-14088	79	65	consistently	consistently	ADV
ecj-14088	79	66	documented	document	VERB
ecj-14088	79	67	in	in	ADP
ecj-14088	79	68	the	the	DET
ecj-14088	79	69	literature.7,10,31	literature.7,10,31	NOUN
ecj-14088	79	70	comparative	comparative	ADJ
ecj-14088	79	71	studies	study	NOUN
ecj-14088	79	72	have	have	AUX
ecj-14088	79	73	demonstrated	demonstrate	VERB
ecj-14088	79	74	the	the	DET
ecj-14088	79	75	biomechanical	biomechanical	ADJ
ecj-14088	79	76	and	and	CCONJ
ecj-14088	79	77	comfort	comfort	NOUN
ecj-14088	79	78	superiority	superiority	NOUN
ecj-14088	79	79	of	of	ADP
ecj-14088	79	80	vacuum	vacuum	NOUN
ecj-14088	79	81	mattresses	mattress	NOUN
ecj-14088	79	82	over	over	ADP
ecj-14088	79	83	rigid	rigid	ADJ
ecj-14088	79	84	spine	spine	ADJ
ecj-14088	79	85	boards	board	NOUN
ecj-14088	79	86	,	,	PUNCT
ecj-14088	79	87	as	as	ADV
ecj-14088	79	88	well	well	ADV
ecj-14088	79	89	as	as	ADP
ecj-14088	79	90	the	the	DET
ecj-14088	79	91	safety	safety	NOUN
ecj-14088	79	92	of	of	ADP
ecj-14088	79	93	controlled	control	VERB
ecj-14088	79	94	self	self	NOUN
ecj-14088	79	95	-	-	PUNCT
ecj-14088	79	96	extrication	extrication	NOUN
ecj-14088	79	97	in	in	ADP
ecj-14088	79	98	cooperative	cooperative	ADJ
ecj-14088	79	99	patients.8,24	patients.8,24	VERB
ecj-14088	79	100	these	these	DET
ecj-14088	79	101	findings	finding	NOUN
ecj-14088	79	102	suggest	suggest	VERB
ecj-14088	79	103	that	that	SCONJ
ecj-14088	79	104	device	device	NOUN
ecj-14088	79	105	selection	selection	NOUN
ecj-14088	79	106	should	should	AUX
ecj-14088	79	107	be	be	AUX
ecj-14088	79	108	guided	guide	VERB
ecj-14088	79	109	by	by	ADP
ecj-14088	79	110	clinical	clinical	ADJ
ecj-14088	79	111	criteria	criterion	NOUN
ecj-14088	79	112	,	,	PUNCT
ecj-14088	79	113	patient	patient	ADJ
ecj-14088	79	114	stability	stability	NOUN
ecj-14088	79	115	,	,	PUNCT
ecj-14088	79	116	and	and	CCONJ
ecj-14088	79	117	operational	operational	ADJ
ecj-14088	79	118	context	context	NOUN
ecj-14088	79	119	.	.	PUNCT
ecj-14088	80	1	additionally	additionally	ADV
ecj-14088	80	2	,	,	PUNCT
ecj-14088	80	3	variability	variability	NOUN
ecj-14088	80	4	in	in	ADP
ecj-14088	80	5	device	device	NOUN
ecj-14088	80	6	application	application	NOUN
ecj-14088	80	7	technique	technique	NOUN
ecj-14088	80	8	is	be	AUX
ecj-14088	80	9	a	a	DET
ecj-14088	80	10	critical	critical	ADJ
ecj-14088	80	11	issue	issue	NOUN
ecj-14088	80	12	that	that	PRON
ecj-14088	80	13	reinforces	reinforce	VERB
ecj-14088	80	14	the	the	DET
ecj-14088	80	15	need	need	NOUN
ecj-14088	80	16	for	for	SCONJ
ecj-14088	80	17	continuous	continuous	ADJ
ecj-14088	80	18	provider	provider	NOUN
ecj-14088	80	19	training.31	training.31	NOUN
ecj-14088	80	20	the	the	DET
ecj-14088	80	21	adoption	adoption	NOUN
ecj-14088	80	22	of	of	ADP
ecj-14088	80	23	selective	selective	ADJ
ecj-14088	80	24	protocols	protocol	NOUN
ecj-14088	80	25	based	base	VERB
ecj-14088	80	26	on	on	ADP
ecj-14088	80	27	validated	validated	ADJ
ecj-14088	80	28	tools	tool	NOUN
ecj-14088	80	29	(	(	PUNCT
ecj-14088	80	30	nexus	nexus	NOUN
ecj-14088	80	31	,	,	PUNCT
ecj-14088	80	32	ccr	ccr	PROPN
ecj-14088	80	33	,	,	PUNCT
ecj-14088	80	34	immo	immo	ADJ
ecj-14088	80	35	tls	tls	PROPN
ecj-14088	80	36	)	)	PUNCT
ecj-14088	80	37	emerges	emerge	VERB
ecj-14088	80	38	as	as	ADP
ecj-14088	80	39	one	one	NUM
ecj-14088	80	40	of	of	ADP
ecj-14088	80	41	the	the	DET
ecj-14088	80	42	main	main	ADJ
ecj-14088	80	43	recommendations	recommendation	NOUN
ecj-14088	80	44	from	from	ADP
ecj-14088	80	45	the	the	DET
ecj-14088	80	46	literature	literature	NOUN
ecj-14088	80	47	.	.	PUNCT
ecj-14088	81	1	the	the	DET
ecj-14088	81	2	implementation	implementation	NOUN
ecj-14088	81	3	of	of	ADP
ecj-14088	81	4	the	the	DET
ecj-14088	81	5	canadian	canadian	ADJ
ecj-14088	81	6	c	c	NOUN
ecj-14088	81	7	-	-	PUNCT
ecj-14088	81	8	spine	spine	ADJ
ecj-14088	81	9	rule	rule	NOUN
ecj-14088	81	10	and	and	CCONJ
ecj-14088	81	11	immo	immo	ADJ
ecj-14088	81	12	tls	tls	PROPN
ecj-14088	81	13	has	have	AUX
ecj-14088	81	14	been	be	AUX
ecj-14088	81	15	shown	show	VERB
ecj-14088	81	16	to	to	PART
ecj-14088	81	17	reduce	reduce	VERB
ecj-14088	81	18	inappropriate	inappropriate	ADJ
ecj-14088	81	19	collar	collar	NOUN
ecj-14088	81	20	use	use	NOUN
ecj-14088	81	21	without	without	ADP
ecj-14088	81	22	increasing	increase	VERB
ecj-14088	81	23	the	the	DET
ecj-14088	81	24	risk	risk	NOUN
ecj-14088	81	25	of	of	ADP
ecj-14088	81	26	missed	miss	VERB
ecj-14088	81	27	injuries.17,19,33	injuries.17,19,33	PRON
ecj-14088	81	28	however	however	ADV
ecj-14088	81	29	,	,	PUNCT
ecj-14088	81	30	dissemination	dissemination	NOUN
ecj-14088	81	31	of	of	ADP
ecj-14088	81	32	these	these	DET
ecj-14088	81	33	tools	tool	NOUN
ecj-14088	81	34	remains	remain	VERB
ecj-14088	81	35	inconsistent	inconsistent	ADJ
ecj-14088	81	36	,	,	PUNCT
ecj-14088	81	37	hindered	hinder	VERB
ecj-14088	81	38	by	by	ADP
ecj-14088	81	39	organizational	organizational	ADJ
ecj-14088	81	40	and	and	CCONJ
ecj-14088	81	41	educational	educational	ADJ
ecj-14088	81	42	barriers.15,22	barriers.15,22	NOUN
ecj-14088	81	43	the	the	DET
ecj-14088	81	44	risk	risk	NOUN
ecj-14088	81	45	of	of	ADP
ecj-14088	81	46	overuse	overuse	NOUN
ecj-14088	81	47	in	in	ADP
ecj-14088	81	48	elderly	elderly	ADJ
ecj-14088	81	49	patients	patient	NOUN
ecj-14088	81	50	,	,	PUNCT
ecj-14088	81	51	individuals	individual	NOUN
ecj-14088	81	52	with	with	ADP
ecj-14088	81	53	head	head	NOUN
ecj-14088	81	54	trauma	trauma	NOUN
ecj-14088	81	55	,	,	PUNCT
ecj-14088	81	56	and	and	CCONJ
ecj-14088	81	57	in	in	ADP
ecj-14088	81	58	low	low	ADJ
ecj-14088	81	59	-	-	PUNCT
ecj-14088	81	60	resource	resource	NOUN
ecj-14088	81	61	contexts	contexts	NOUN
ecj-14088	81	62	is	be	AUX
ecj-14088	81	63	another	another	DET
ecj-14088	81	64	key	key	ADJ
ecj-14088	81	65	concern.15,32	concern.15,32	NOUN
ecj-14088	81	66	in	in	ADP
ecj-14088	81	67	particular	particular	ADJ
ecj-14088	81	68	,	,	PUNCT
ecj-14088	81	69	the	the	DET
ecj-14088	81	70	increased	increase	VERB
ecj-14088	81	71	mortality	mortality	NOUN
ecj-14088	81	72	associated	associate	VERB
ecj-14088	81	73	with	with	ADP
ecj-14088	81	74	collar	collar	NOUN
ecj-14088	81	75	use	use	NOUN
ecj-14088	81	76	in	in	ADP
ecj-14088	81	77	patients	patient	NOUN
ecj-14088	81	78	with	with	ADP
ecj-14088	81	79	gcs	gcs	PROPN
ecj-14088	81	80	<	<	X
ecj-14088	81	81	9	9	NUM
ecj-14088	81	82	calls	call	NOUN
ecj-14088	81	83	for	for	ADP
ecj-14088	81	84	caution	caution	NOUN
ecj-14088	81	85	in	in	ADP
ecj-14088	81	86	applying	apply	VERB
ecj-14088	81	87	cervical	cervical	ADJ
ecj-14088	81	88	immobilization	immobilization	NOUN
ecj-14088	81	89	automatically	automatically	ADV
ecj-14088	81	90	in	in	ADP
ecj-14088	81	91	this	this	DET
ecj-14088	81	92	population	population	NOUN
ecj-14088	81	93	.	.	PUNCT
ecj-14088	82	1	moreover	moreover	ADV
ecj-14088	82	2	,	,	PUNCT
ecj-14088	82	3	the	the	DET
ecj-14088	82	4	lack	lack	NOUN
ecj-14088	82	5	of	of	ADP
ecj-14088	82	6	high	high	ADJ
ecj-14088	82	7	-	-	PUNCT
ecj-14088	82	8	quality	quality	NOUN
ecj-14088	82	9	studies	study	NOUN
ecj-14088	82	10	in	in	ADP
ecj-14088	82	11	remote	remote	ADJ
ecj-14088	82	12	environments	environment	NOUN
ecj-14088	82	13	,	,	PUNCT
ecj-14088	82	14	resourcelimited	resourcelimited	ADJ
ecj-14088	82	15	settings	setting	NOUN
ecj-14088	82	16	,	,	PUNCT
ecj-14088	82	17	and	and	CCONJ
ecj-14088	82	18	penetrating	penetrate	VERB
ecj-14088	82	19	trauma	trauma	NOUN
ecj-14088	82	20	limits	limit	NOUN
ecj-14088	82	21	the	the	DET
ecj-14088	82	22	generalizability	generalizability	NOUN
ecj-14088	82	23	of	of	ADP
ecj-14088	82	24	current	current	ADJ
ecj-14088	82	25	recommendations.22	recommendations.22	NOUN
ecj-14088	82	26	taken	take	VERB
ecj-14088	82	27	together	together	ADV
ecj-14088	82	28	,	,	PUNCT
ecj-14088	82	29	the	the	DET
ecj-14088	82	30	available	available	ADJ
ecj-14088	82	31	data	datum	NOUN
ecj-14088	82	32	support	support	VERB
ecj-14088	82	33	a	a	DET
ecj-14088	82	34	model	model	NOUN
ecj-14088	82	35	of	of	ADP
ecj-14088	82	36	prehospital	prehospital	ADJ
ecj-14088	82	37	spinal	spinal	NOUN
ecj-14088	82	38	immobilization	immobilization	NOUN
ecj-14088	82	39	based	base	VERB
ecj-14088	82	40	on	on	ADP
ecj-14088	82	41	clinical	clinical	ADJ
ecj-14088	82	42	appropriateness	appropriateness	NOUN
ecj-14088	82	43	rather	rather	ADV
ecj-14088	82	44	than	than	ADP
ecj-14088	82	45	procedural	procedural	ADJ
ecj-14088	82	46	automatism	automatism	NOUN
ecj-14088	82	47	.	.	PUNCT
ecj-14088	83	1	patient	patient	ADJ
ecj-14088	83	2	selection	selection	NOUN
ecj-14088	83	3	,	,	PUNCT
ecj-14088	83	4	risk	risk	NOUN
ecj-14088	83	5	assessment	assessment	NOUN
ecj-14088	83	6	,	,	PUNCT
ecj-14088	83	7	provider	provider	NOUN
ecj-14088	83	8	training	training	NOUN
ecj-14088	83	9	,	,	PUNCT
ecj-14088	83	10	and	and	CCONJ
ecj-14088	83	11	the	the	DET
ecj-14088	83	12	systematic	systematic	ADJ
ecj-14088	83	13	adoption	adoption	NOUN
ecj-14088	83	14	of	of	ADP
ecj-14088	83	15	decision	decision	NOUN
ecj-14088	83	16	-	-	PUNCT
ecj-14088	83	17	making	make	VERB
ecj-14088	83	18	tools	tool	NOUN
ecj-14088	83	19	are	be	AUX
ecj-14088	83	20	essential	essential	ADJ
ecj-14088	83	21	for	for	ADP
ecj-14088	83	22	delivering	deliver	VERB
ecj-14088	83	23	modern	modern	ADJ
ecj-14088	83	24	,	,	PUNCT
ecj-14088	83	25	effective	effective	ADJ
ecj-14088	83	26	,	,	PUNCT
ecj-14088	83	27	and	and	CCONJ
ecj-14088	83	28	safe	safe	ADJ
ecj-14088	83	29	clinical	clinical	ADJ
ecj-14088	83	30	care	care	NOUN
ecj-14088	83	31	.	.	PUNCT
ecj-14088	84	1	conclusions	conclusion	NOUN
ecj-14088	84	2	based	base	VERB
ecj-14088	84	3	on	on	ADP
ecj-14088	84	4	the	the	DET
ecj-14088	84	5	available	available	ADJ
ecj-14088	84	6	evidence	evidence	NOUN
ecj-14088	84	7	,	,	PUNCT
ecj-14088	84	8	spinal	spinal	ADJ
ecj-14088	84	9	immobilization	immobilization	NOUN
ecj-14088	84	10	in	in	ADP
ecj-14088	84	11	the	the	DET
ecj-14088	84	12	prehospital	prehospital	NOUN
ecj-14088	84	13	setting	setting	NOUN
ecj-14088	84	14	should	should	AUX
ecj-14088	84	15	not	not	PART
ecj-14088	84	16	be	be	AUX
ecj-14088	84	17	applied	apply	VERB
ecj-14088	84	18	routinely	routinely	ADV
ecj-14088	84	19	,	,	PUNCT
ecj-14088	84	20	but	but	CCONJ
ecj-14088	84	21	rather	rather	ADV
ecj-14088	84	22	evaluated	evaluate	VERB
ecj-14088	84	23	based	base	VERB
ecj-14088	84	24	on	on	ADP
ecj-14088	84	25	clinical	clinical	ADJ
ecj-14088	84	26	risk	risk	NOUN
ecj-14088	84	27	,	,	PUNCT
ecj-14088	84	28	patient	patient	ADJ
ecj-14088	84	29	condition	condition	NOUN
ecj-14088	84	30	,	,	PUNCT
ecj-14088	84	31	and	and	CCONJ
ecj-14088	84	32	operational	operational	ADJ
ecj-14088	84	33	context	context	NOUN
ecj-14088	84	34	.	.	PUNCT
ecj-14088	85	1	this	this	DET
ecj-14088	85	2	principle	principle	NOUN
ecj-14088	85	3	aligns	align	VERB
ecj-14088	85	4	with	with	ADP
ecj-14088	85	5	the	the	DET
ecj-14088	85	6	concept	concept	NOUN
ecj-14088	85	7	of	of	ADP
ecj-14088	85	8	spinal	spinal	ADJ
ecj-14088	85	9	motion	motion	NOUN
ecj-14088	85	10	restriction	restriction	NOUN
ecj-14088	85	11	(	(	PUNCT
ecj-14088	85	12	smr	smr	NOUN
ecj-14088	85	13	)	)	PUNCT
ecj-14088	85	14	,	,	PUNCT
ecj-14088	85	15	which	which	PRON
ecj-14088	85	16	emphasizes	emphasize	VERB
ecj-14088	85	17	the	the	DET
ecj-14088	85	18	reduction	reduction	NOUN
ecj-14088	85	19	of	of	ADP
ecj-14088	85	20	unnecessary	unnecessary	ADJ
ecj-14088	85	21	spinal	spinal	ADJ
ecj-14088	85	22	motion	motion	NOUN
ecj-14088	85	23	rather	rather	ADV
ecj-14088	85	24	than	than	ADP
ecj-14088	85	25	the	the	DET
ecj-14088	85	26	achievement	achievement	NOUN
ecj-14088	85	27	of	of	ADP
ecj-14088	85	28	complete	complete	ADJ
ecj-14088	85	29	immobilization	immobilization	NOUN
ecj-14088	85	30	.	.	PUNCT
ecj-14088	86	1	the	the	DET
ecj-14088	86	2	adoption	adoption	NOUN
ecj-14088	86	3	of	of	ADP
ecj-14088	86	4	smr	smr	NOUN
ecj-14088	86	5	terminology	terminology	NOUN
ecj-14088	86	6	reflects	reflect	VERB
ecj-14088	86	7	a	a	DET
ecj-14088	86	8	more	more	ADV
ecj-14088	86	9	pragmatic	pragmatic	ADJ
ecj-14088	86	10	and	and	CCONJ
ecj-14088	86	11	patient	patient	NOUN
ecj-14088	86	12	-	-	PUNCT
ecj-14088	86	13	centered	center	VERB
ecj-14088	86	14	approach	approach	NOUN
ecj-14088	86	15	to	to	ADP
ecj-14088	86	16	prehospital	prehospital	ADJ
ecj-14088	86	17	spinal	spinal	NOUN
ecj-14088	86	18	care.10	care.10	NOUN
ecj-14088	86	19	the	the	DET
ecj-14088	86	20	literature	literature	NOUN
ecj-14088	86	21	review	review	NOUN
ecj-14088	86	22	shows	show	VERB
ecj-14088	86	23	that	that	SCONJ
ecj-14088	86	24	the	the	DET
ecj-14088	86	25	effectiveness	effectiveness	NOUN
ecj-14088	86	26	of	of	ADP
ecj-14088	86	27	the	the	DET
ecj-14088	86	28	intervention	intervention	NOUN
ecj-14088	86	29	is	be	AUX
ecj-14088	86	30	limited	limit	VERB
ecj-14088	86	31	to	to	ADP
ecj-14088	86	32	specific	specific	ADJ
ecj-14088	86	33	subgroups	subgroup	NOUN
ecj-14088	86	34	,	,	PUNCT
ecj-14088	86	35	while	while	SCONJ
ecj-14088	86	36	associated	associated	ADJ
ecj-14088	86	37	complications	complication	NOUN
ecj-14088	86	38	and	and	CCONJ
ecj-14088	86	39	the	the	DET
ecj-14088	86	40	risk	risk	NOUN
ecj-14088	86	41	of	of	ADP
ecj-14088	86	42	overtreatment	overtreatment	NOUN
ecj-14088	86	43	remain	remain	VERB
ecj-14088	86	44	high	high	ADJ
ecj-14088	86	45	.	.	PUNCT
ecj-14088	87	1	alternative	alternative	ADJ
ecj-14088	87	2	devices	device	NOUN
ecj-14088	87	3	,	,	PUNCT
ecj-14088	87	4	self	self	NOUN
ecj-14088	87	5	-	-	PUNCT
ecj-14088	87	6	extrication	extrication	NOUN
ecj-14088	87	7	strategies	strategy	NOUN
ecj-14088	87	8	,	,	PUNCT
ecj-14088	87	9	and	and	CCONJ
ecj-14088	87	10	validated	validated	ADJ
ecj-14088	87	11	clinical	clinical	ADJ
ecj-14088	87	12	decision	decision	NOUN
ecj-14088	87	13	protocols	protocol	NOUN
ecj-14088	87	14	are	be	AUX
ecj-14088	87	15	valuable	valuable	ADJ
ecj-14088	87	16	tools	tool	NOUN
ecj-14088	87	17	for	for	ADP
ecj-14088	87	18	achieving	achieve	VERB
ecj-14088	87	19	more	more	ADV
ecj-14088	87	20	rational	rational	ADJ
ecj-14088	87	21	and	and	CCONJ
ecj-14088	87	22	safe	safe	ADJ
ecj-14088	87	23	management	management	NOUN
ecj-14088	87	24	.	.	PUNCT
ecj-14088	88	1	continuous	continuous	ADJ
ecj-14088	88	2	training	training	NOUN
ecj-14088	88	3	of	of	ADP
ecj-14088	88	4	providers	provider	NOUN
ecj-14088	88	5	,	,	PUNCT
ecj-14088	88	6	updates	update	VERB
ecj-14088	88	7	to	to	ADP
ecj-14088	88	8	local	local	ADJ
ecj-14088	88	9	protocols	protocol	NOUN
ecj-14088	88	10	,	,	PUNCT
ecj-14088	88	11	and	and	CCONJ
ecj-14088	88	12	further	further	ADJ
ecj-14088	88	13	studies	study	NOUN
ecj-14088	88	14	on	on	ADP
ecj-14088	88	15	at	at	ADP
ecj-14088	88	16	-	-	PUNCT
ecj-14088	88	17	risk	risk	NOUN
ecj-14088	88	18	populations	population	NOUN
ecj-14088	88	19	,	,	PUNCT
ecj-14088	88	20	penetrating	penetrate	VERB
ecj-14088	88	21	trauma	trauma	NOUN
ecj-14088	88	22	,	,	PUNCT
ecj-14088	88	23	and	and	CCONJ
ecj-14088	88	24	low	low	ADJ
ecj-14088	88	25	-	-	PUNCT
ecj-14088	88	26	resource	resource	NOUN
ecj-14088	88	27	settings	setting	NOUN
ecj-14088	88	28	are	be	AUX
ecj-14088	88	29	necessary	necessary	ADJ
ecj-14088	88	30	.	.	PUNCT
ecj-14088	89	1	the	the	DET
ecj-14088	89	2	adoption	adoption	NOUN
ecj-14088	89	3	of	of	ADP
ecj-14088	89	4	an	an	DET
ecj-14088	89	5	evidence	evidence	NOUN
ecj-14088	89	6	-	-	PUNCT
ecj-14088	89	7	based	base	VERB
ecj-14088	89	8	decision	decision	NOUN
ecj-14088	89	9	-	-	PUNCT
ecj-14088	89	10	making	make	VERB
ecj-14088	89	11	model	model	NOUN
ecj-14088	89	12	for	for	ADP
ecj-14088	89	13	spinal	spinal	ADJ
ecj-14088	89	14	immobilization	immobilization	NOUN
ecj-14088	89	15	has	have	VERB
ecj-14088	89	16	the	the	DET
ecj-14088	89	17	potential	potential	NOUN
ecj-14088	89	18	to	to	PART
ecj-14088	89	19	improve	improve	VERB
ecj-14088	89	20	clinical	clinical	ADJ
ecj-14088	89	21	outcomes	outcome	NOUN
ecj-14088	89	22	,	,	PUNCT
ecj-14088	89	23	reduce	reduce	VERB
ecj-14088	89	24	complications	complication	NOUN
ecj-14088	89	25	,	,	PUNCT
ecj-14088	89	26	and	and	CCONJ
ecj-14088	89	27	optimize	optimize	VERB
ecj-14088	89	28	the	the	DET
ecj-14088	89	29	use	use	NOUN
ecj-14088	89	30	of	of	ADP
ecj-14088	89	31	resources	resource	NOUN
ecj-14088	89	32	in	in	ADP
ecj-14088	89	33	prehospital	prehospital	ADJ
ecj-14088	89	34	emergency	emergency	NOUN
ecj-14088	89	35	systems	system	NOUN
ecj-14088	89	36	.	.	PUNCT
ecj-14088	90	1	in	in	ADP
ecj-14088	90	2	addition	addition	NOUN
ecj-14088	90	3	,	,	PUNCT
ecj-14088	90	4	future	future	ADJ
ecj-14088	90	5	directions	direction	NOUN
ecj-14088	90	6	should	should	AUX
ecj-14088	90	7	emphasize	emphasize	VERB
ecj-14088	90	8	the	the	DET
ecj-14088	90	9	role	role	NOUN
ecj-14088	90	10	of	of	ADP
ecj-14088	90	11	high	high	ADJ
ecj-14088	90	12	-	-	PUNCT
ecj-14088	90	13	fidelity	fidelity	NOUN
ecj-14088	90	14	simulation	simulation	NOUN
ecj-14088	90	15	-	-	PUNCT
ecj-14088	90	16	based	base	VERB
ecj-14088	90	17	training	training	NOUN
ecj-14088	90	18	as	as	ADP
ecj-14088	90	19	a	a	DET
ecj-14088	90	20	means	means	NOUN
ecj-14088	90	21	of	of	ADP
ecj-14088	90	22	improving	improve	VERB
ecj-14088	90	23	provider	provider	NOUN
ecj-14088	90	24	decision	decision	NOUN
ecj-14088	90	25	-	-	PUNCT
ecj-14088	90	26	making	make	VERB
ecj-14088	90	27	and	and	CCONJ
ecj-14088	90	28	technical	technical	ADJ
ecj-14088	90	29	skills	skill	NOUN
ecj-14088	90	30	,	,	PUNCT
ecj-14088	90	31	as	as	ADV
ecj-14088	90	32	well	well	ADV
ecj-14088	90	33	as	as	ADP
ecj-14088	90	34	the	the	DET
ecj-14088	90	35	systematic	systematic	ADJ
ecj-14088	90	36	implementation	implementation	NOUN
ecj-14088	90	37	of	of	ADP
ecj-14088	90	38	clinical	clinical	ADJ
ecj-14088	90	39	audits	audits	NOUN
ecj-14088	90	40	to	to	PART
ecj-14088	90	41	monitor	monitor	VERB
ecj-14088	90	42	adherence	adherence	NOUN
ecj-14088	90	43	to	to	ADP
ecj-14088	90	44	protocols	protocol	NOUN
ecj-14088	90	45	and	and	CCONJ
ecj-14088	90	46	support	support	VERB
ecj-14088	90	47	continuous	continuous	ADJ
ecj-14088	90	48	quality	quality	NOUN
ecj-14088	90	49	improvement	improvement	NOUN
ecj-14088	90	50	.	.	PUNCT
ecj-14088	91	1	review	review	NOUN
ecj-14088	92	1	[	[	X
ecj-14088	92	2	emergency	emergency	NOUN
ecj-14088	92	3	care	care	NOUN
ecj-14088	92	4	journal	journal	NOUN
ecj-14088	92	5	2025	2025	NUM
ecj-14088	92	6	;	;	PUNCT
ecj-14088	92	7	21:14088	21:14088	NUM
ecj-14088	92	8	]	]	PUNCT
ecj-14088	93	1	[	[	X
ecj-14088	93	2	page	page	NOUN
ecj-14088	93	3	49	49	NUM
ecj-14088	93	4	]	]	PUNCT
ecj-14088	93	5	references	reference	NOUN
ecj-14088	93	6	1	1	NUM
ecj-14088	93	7	.	.	PUNCT
ecj-14088	94	1	chen	chen	PROPN
ecj-14088	94	2	ha	ha	PROPN
ecj-14088	94	3	,	,	PUNCT
ecj-14088	94	4	hsu	hsu	PROPN
ecj-14088	94	5	st	st	PROPN
ecj-14088	94	6	,	,	PUNCT
ecj-14088	94	7	shin	shin	PROPN
ecj-14088	94	8	s	s	PART
ecj-14088	94	9	do	do	VERB
ecj-14088	94	10	,	,	PUNCT
ecj-14088	94	11	et	et	PROPN
ecj-14088	94	12	al	al	PROPN
ecj-14088	94	13	.	.	PUNCT
ecj-14088	95	1	a	a	DET
ecj-14088	95	2	multicenter	multicenter	ADJ
ecj-14088	95	3	cohort	cohort	NOUN
ecj-14088	95	4	study	study	NOUN
ecj-14088	95	5	on	on	ADP
ecj-14088	95	6	the	the	DET
ecj-14088	95	7	association	association	NOUN
ecj-14088	95	8	between	between	ADP
ecj-14088	95	9	prehospital	prehospital	NOUN
ecj-14088	95	10	immobilization	immobilization	NOUN
ecj-14088	95	11	and	and	CCONJ
ecj-14088	95	12	functional	functional	ADJ
ecj-14088	95	13	outcome	outcome	NOUN
ecj-14088	95	14	of	of	ADP
ecj-14088	95	15	patients	patient	NOUN
ecj-14088	95	16	following	follow	VERB
ecj-14088	95	17	spinal	spinal	ADJ
ecj-14088	95	18	injury	injury	NOUN
ecj-14088	95	19	in	in	ADP
ecj-14088	95	20	asia	asia	PROPN
ecj-14088	95	21	.	.	PUNCT
ecj-14088	96	1	sci	sci	PROPN
ecj-14088	96	2	rep	rep	PROPN
ecj-14088	96	3	2022;12:3492	2022;12:3492	PROPN
ecj-14088	96	4	.	.	PUNCT
ecj-14088	97	1	2	2	NUM
ecj-14088	97	2	.	.	PUNCT
ecj-14088	97	3	sundstrøm	sundstrøm	PROPN
ecj-14088	97	4	t	t	PROPN
ecj-14088	97	5	,	,	PUNCT
ecj-14088	97	6	asbjørnsen	asbjørnsen	NOUN
ecj-14088	97	7	h	h	PROPN
ecj-14088	97	8	,	,	PUNCT
ecj-14088	97	9	habiba	habiba	PROPN
ecj-14088	97	10	s	s	PROPN
ecj-14088	97	11	,	,	PUNCT
ecj-14088	97	12	et	et	PROPN
ecj-14088	97	13	al	al	PROPN
ecj-14088	97	14	.	.	PUNCT
ecj-14088	97	15	prehospital	prehospital	ADJ
ecj-14088	97	16	use	use	NOUN
ecj-14088	97	17	of	of	ADP
ecj-14088	97	18	cervical	cervical	ADJ
ecj-14088	97	19	collars	collar	NOUN
ecj-14088	97	20	in	in	ADP
ecj-14088	97	21	trauma	trauma	NOUN
ecj-14088	97	22	patients	patient	NOUN
ecj-14088	97	23	:	:	PUNCT
ecj-14088	97	24	a	a	DET
ecj-14088	97	25	critical	critical	ADJ
ecj-14088	97	26	review	review	NOUN
ecj-14088	97	27	.	.	PUNCT
ecj-14088	98	1	j	j	PROPN
ecj-14088	98	2	neurotrauma	neurotrauma	PROPN
ecj-14088	99	1	2014;31:531	2014;31:531	PROPN
ecj-14088	99	2	-	-	SYM
ecj-14088	99	3	40	40	NUM
ecj-14088	99	4	.	.	PUNCT
ecj-14088	100	1	3	3	X
ecj-14088	100	2	.	.	NOUN
ecj-14088	100	3	haitswald	haitswald	PROPN
ecj-14088	100	4	m	m	PROPN
ecj-14088	100	5	,	,	PUNCT
ecj-14088	100	6	ong	ong	INTJ
ecj-14088	100	7	g	g	PROPN
ecj-14088	100	8	,	,	PUNCT
ecj-14088	100	9	tandberg	tandberg	PROPN
ecj-14088	100	10	d	d	PROPN
ecj-14088	100	11	,	,	PUNCT
ecj-14088	100	12	omar	omar	PROPN
ecj-14088	100	13	z.	z.	PROPN
ecj-14088	100	14	out	out	ADP
ecj-14088	100	15	-	-	PUNCT
ecj-14088	100	16	of	of	ADP
ecj-14088	100	17	-	-	PUNCT
ecj-14088	100	18	hospital	hospital	NOUN
ecj-14088	100	19	spinal	spinal	NOUN
ecj-14088	100	20	immobilization	immobilization	NOUN
ecj-14088	100	21	:	:	PUNCT
ecj-14088	100	22	its	its	PRON
ecj-14088	100	23	effect	effect	NOUN
ecj-14088	100	24	on	on	ADP
ecj-14088	100	25	neurologic	neurologic	ADJ
ecj-14088	100	26	injury	injury	NOUN
ecj-14088	100	27	.	.	PUNCT
ecj-14088	101	1	acad	acad	PROPN
ecj-14088	101	2	emerg	emerg	PROPN
ecj-14088	101	3	med	med	PROPN
ecj-14088	101	4	1998;5:214	1998;5:214	PROPN
ecj-14088	101	5	-	-	SYM
ecj-14088	101	6	9	9	NUM
ecj-14088	101	7	.	.	NOUN
ecj-14088	101	8	4	4	NUM
ecj-14088	101	9	.	.	X
ecj-14088	101	10	white	white	PROPN
ecj-14088	101	11	iv	iv	NUM
ecj-14088	101	12	cc	cc	PROPN
ecj-14088	101	13	,	,	PUNCT
ecj-14088	101	14	domeier	domeier	PROPN
ecj-14088	101	15	rm	rm	PROPN
ecj-14088	101	16	,	,	PUNCT
ecj-14088	101	17	millin	millin	PROPN
ecj-14088	101	18	mg	mg	PROPN
ecj-14088	101	19	.	.	PUNCT
ecj-14088	102	1	ems	ems	PROPN
ecj-14088	102	2	spinal	spinal	NOUN
ecj-14088	102	3	precautions	precaution	NOUN
ecj-14088	102	4	and	and	CCONJ
ecj-14088	102	5	the	the	DET
ecj-14088	102	6	use	use	NOUN
ecj-14088	102	7	of	of	ADP
ecj-14088	102	8	the	the	DET
ecj-14088	102	9	long	long	ADJ
ecj-14088	102	10	backboard	backboard	NOUN
ecj-14088	102	11	-	-	PUNCT
ecj-14088	102	12	resource	resource	NOUN
ecj-14088	102	13	document	document	NOUN
ecj-14088	102	14	to	to	ADP
ecj-14088	102	15	the	the	DET
ecj-14088	102	16	position	position	NOUN
ecj-14088	102	17	statement	statement	NOUN
ecj-14088	102	18	of	of	ADP
ecj-14088	102	19	the	the	DET
ecj-14088	102	20	national	national	PROPN
ecj-14088	102	21	association	association	PROPN
ecj-14088	102	22	of	of	ADP
ecj-14088	102	23	ems	ems	PROPN
ecj-14088	102	24	physicians	physician	NOUN
ecj-14088	102	25	and	and	CCONJ
ecj-14088	102	26	the	the	DET
ecj-14088	102	27	american	american	PROPN
ecj-14088	102	28	college	college	PROPN
ecj-14088	102	29	of	of	ADP
ecj-14088	102	30	surgeons	surgeon	NOUN
ecj-14088	102	31	committee	committee	NOUN
ecj-14088	102	32	on	on	ADP
ecj-14088	102	33	trauma	trauma	NOUN
ecj-14088	102	34	.	.	PUNCT
ecj-14088	103	1	prehospital	prehospital	PROPN
ecj-14088	103	2	emerg	emerg	PROPN
ecj-14088	103	3	care	care	PROPN
ecj-14088	103	4	2014;18:306	2014;18:306	PROPN
ecj-14088	103	5	-	-	SYM
ecj-14088	103	6	14	14	NUM
ecj-14088	103	7	.	.	PUNCT
ecj-14088	104	1	5	5	X
ecj-14088	104	2	.	.	X
ecj-14088	104	3	brasel	brasel	PROPN
ecj-14088	104	4	kj	kj	PROPN
ecj-14088	104	5	.	.	PUNCT
ecj-14088	105	1	advanced	advanced	ADJ
ecj-14088	105	2	trauma	trauma	NOUN
ecj-14088	105	3	life	life	NOUN
ecj-14088	105	4	support	support	NOUN
ecj-14088	105	5	(	(	PUNCT
ecj-14088	105	6	atls	atls	PROPN
ecj-14088	105	7	®	®	NOUN
ecj-14088	105	8	):	):	PUNCT
ecj-14088	105	9	the	the	DET
ecj-14088	105	10	ninth	ninth	ADJ
ecj-14088	105	11	edition	edition	NOUN
ecj-14088	105	12	.	.	PUNCT
ecj-14088	106	1	j	j	PROPN
ecj-14088	106	2	trauma	trauma	PROPN
ecj-14088	106	3	acute	acute	PROPN
ecj-14088	106	4	care	care	NOUN
ecj-14088	106	5	surg	surg	NOUN
ecj-14088	106	6	2013;74:1363	2013;74:1363	PROPN
ecj-14088	106	7	-	-	SYM
ecj-14088	106	8	6	6	NUM
ecj-14088	106	9	.	.	NOUN
ecj-14088	106	10	7	7	X
ecj-14088	106	11	.	.	X
ecj-14088	107	1	haut	haut	PROPN
ecj-14088	107	2	er	er	INTJ
ecj-14088	107	3	,	,	PUNCT
ecj-14088	107	4	kalish	kalish	PROPN
ecj-14088	107	5	bt	bt	PROPN
ecj-14088	107	6	,	,	PUNCT
ecj-14088	107	7	efron	efron	PROPN
ecj-14088	107	8	dt	dt	PROPN
ecj-14088	107	9	,	,	PUNCT
ecj-14088	107	10	et	et	PROPN
ecj-14088	107	11	al	al	PROPN
ecj-14088	107	12	.	.	PROPN
ecj-14088	107	13	spine	spine	ADJ
ecj-14088	107	14	immobilization	immobilization	NOUN
ecj-14088	107	15	in	in	ADP
ecj-14088	107	16	penetrating	penetrate	VERB
ecj-14088	107	17	trauma	trauma	NOUN
ecj-14088	107	18	:	:	PUNCT
ecj-14088	107	19	more	more	ADJ
ecj-14088	107	20	harm	harm	NOUN
ecj-14088	107	21	than	than	ADP
ecj-14088	107	22	good	good	ADJ
ecj-14088	107	23	?	?	PUNCT
ecj-14088	108	1	j	j	PROPN
ecj-14088	108	2	trauma	trauma	VERB
ecj-14088	108	3	2010;68:115	2010;68:115	NOUN
ecj-14088	108	4	-	-	SYM
ecj-14088	108	5	20	20	NUM
ecj-14088	108	6	.	.	PUNCT
ecj-14088	108	7	8	8	NUM
ecj-14088	108	8	.	.	PUNCT
ecj-14088	109	1	kwan	kwan	PROPN
ecj-14088	109	2	i	i	PROPN
ecj-14088	109	3	,	,	PUNCT
ecj-14088	109	4	bunn	bunn	PROPN
ecj-14088	109	5	f	f	PROPN
ecj-14088	109	6	,	,	PUNCT
ecj-14088	109	7	roberts	roberts	PROPN
ecj-14088	109	8	ig	ig	PROPN
ecj-14088	109	9	.	.	PUNCT
ecj-14088	110	1	spinal	spinal	ADJ
ecj-14088	110	2	immobilisation	immobilisation	NOUN
ecj-14088	110	3	for	for	ADP
ecj-14088	110	4	trauma	trauma	NOUN
ecj-14088	110	5	patients	patient	NOUN
ecj-14088	110	6	.	.	PUNCT
ecj-14088	111	1	cochrane	cochrane	NOUN
ecj-14088	111	2	database	database	PROPN
ecj-14088	111	3	systematic	systematic	ADJ
ecj-14088	111	4	revi	revi	PROPN
ecj-14088	111	5	2001	2001	NUM
ecj-14088	111	6	:	:	PUNCT
ecj-14088	111	7	cd002803	cd002803	NOUN
ecj-14088	111	8	.	.	PUNCT
ecj-14088	112	1	9	9	X
ecj-14088	112	2	.	.	X
ecj-14088	112	3	dixon	dixon	PROPN
ecj-14088	112	4	m	m	PROPN
ecj-14088	112	5	,	,	PUNCT
ecj-14088	112	6	o’halloran	o’halloran	PROPN
ecj-14088	112	7	j	j	PROPN
ecj-14088	112	8	,	,	PUNCT
ecj-14088	112	9	hannigan	hannigan	VERB
ecj-14088	112	10	a	a	PRON
ecj-14088	112	11	,	,	PUNCT
ecj-14088	112	12	et	et	PROPN
ecj-14088	112	13	al	al	PROPN
ecj-14088	112	14	.	.	PUNCT
ecj-14088	113	1	confirmation	confirmation	NOUN
ecj-14088	113	2	of	of	ADP
ecj-14088	113	3	suboptimal	suboptimal	ADJ
ecj-14088	113	4	protocols	protocol	NOUN
ecj-14088	113	5	in	in	ADP
ecj-14088	113	6	spinal	spinal	ADJ
ecj-14088	113	7	immobilisation	immobilisation	NOUN
ecj-14088	113	8	?	?	PUNCT
ecj-14088	114	1	emerg	emerg	PROPN
ecj-14088	114	2	med	med	PROPN
ecj-14088	114	3	j	j	PROPN
ecj-14088	114	4	2015;32:939	2015;32:939	PROPN
ecj-14088	114	5	-	-	SYM
ecj-14088	114	6	45	45	NUM
ecj-14088	114	7	.	.	NOUN
ecj-14088	114	8	10	10	NUM
ecj-14088	114	9	.	.	PUNCT
ecj-14088	115	1	fischer	fischer	PROPN
ecj-14088	115	2	pe	pe	PROPN
ecj-14088	115	3	,	,	PUNCT
ecj-14088	115	4	perina	perina	PROPN
ecj-14088	115	5	dg	dg	PROPN
ecj-14088	115	6	,	,	PUNCT
ecj-14088	115	7	delbridge	delbridge	VERB
ecj-14088	115	8	tr	tr	VERB
ecj-14088	115	9	,	,	PUNCT
ecj-14088	115	10	et	et	PROPN
ecj-14088	115	11	al	al	PROPN
ecj-14088	115	12	.	.	PUNCT
ecj-14088	116	1	spinal	spinal	ADJ
ecj-14088	116	2	motion	motion	NOUN
ecj-14088	116	3	restriction	restriction	NOUN
ecj-14088	116	4	in	in	ADP
ecj-14088	116	5	the	the	DET
ecj-14088	116	6	trauma	trauma	NOUN
ecj-14088	116	7	patient	patient	NOUN
ecj-14088	116	8	-	-	PUNCT
ecj-14088	116	9	a	a	DET
ecj-14088	116	10	joint	joint	ADJ
ecj-14088	116	11	position	position	NOUN
ecj-14088	116	12	statement	statement	NOUN
ecj-14088	116	13	.	.	PUNCT
ecj-14088	117	1	prehospital	prehospital	PROPN
ecj-14088	117	2	emerg	emerg	PROPN
ecj-14088	117	3	care	care	NOUN
ecj-14088	117	4	2018;22:659	2018;22:659	NOUN
ecj-14088	117	5	-	-	SYM
ecj-14088	117	6	61	61	NUM
ecj-14088	117	7	.	.	PUNCT
ecj-14088	117	8	11	11	NUM
ecj-14088	117	9	.	.	X
ecj-14088	117	10	hood	hood	PROPN
ecj-14088	117	11	n	n	CCONJ
ecj-14088	117	12	,	,	PUNCT
ecj-14088	117	13	considine	considine	PROPN
ecj-14088	117	14	j.	j.	PROPN
ecj-14088	117	15	spinal	spinal	PROPN
ecj-14088	117	16	immobilisation	immobilisation	NOUN
ecj-14088	117	17	in	in	ADP
ecj-14088	117	18	pre	pre	ADJ
ecj-14088	117	19	-	-	ADJ
ecj-14088	117	20	hospital	hospital	ADJ
ecj-14088	117	21	and	and	CCONJ
ecj-14088	117	22	emergency	emergency	NOUN
ecj-14088	117	23	care	care	NOUN
ecj-14088	117	24	:	:	PUNCT
ecj-14088	117	25	a	a	DET
ecj-14088	117	26	systematic	systematic	ADJ
ecj-14088	117	27	review	review	NOUN
ecj-14088	117	28	of	of	ADP
ecj-14088	117	29	the	the	DET
ecj-14088	117	30	literature	literature	NOUN
ecj-14088	117	31	.	.	PUNCT
ecj-14088	118	1	australasian	australasian	ADJ
ecj-14088	118	2	emerg	emerg	PROPN
ecj-14088	118	3	nursing	nursing	NOUN
ecj-14088	118	4	j	j	PROPN
ecj-14088	118	5	2015;18:118	2015;18:118	NUM
ecj-14088	118	6	-	-	SYM
ecj-14088	118	7	37	37	NUM
ecj-14088	118	8	.	.	PUNCT
ecj-14088	118	9	12	12	NUM
ecj-14088	118	10	.	.	PUNCT
ecj-14088	119	1	ham	ham	PROPN
ecj-14088	119	2	w	w	PROPN
ecj-14088	119	3	,	,	PUNCT
ecj-14088	119	4	schoonhoven	schoonhoven	ADJ
ecj-14088	119	5	l	l	NOUN
ecj-14088	119	6	,	,	PUNCT
ecj-14088	119	7	schuurmans	schuurmans	PROPN
ecj-14088	119	8	mj	mj	PROPN
ecj-14088	119	9	,	,	PUNCT
ecj-14088	119	10	leenen	leenen	PROPN
ecj-14088	119	11	lph	lph	PROPN
ecj-14088	119	12	.	.	PROPN
ecj-14088	120	1	pressure	pressure	NOUN
ecj-14088	120	2	ulcers	ulcer	NOUN
ecj-14088	120	3	from	from	ADP
ecj-14088	120	4	spinal	spinal	ADJ
ecj-14088	120	5	immobilization	immobilization	NOUN
ecj-14088	120	6	in	in	ADP
ecj-14088	120	7	trauma	trauma	NOUN
ecj-14088	120	8	patients	patient	NOUN
ecj-14088	120	9	:	:	PUNCT
ecj-14088	120	10	a	a	DET
ecj-14088	120	11	systematic	systematic	ADJ
ecj-14088	120	12	review	review	NOUN
ecj-14088	120	13	.	.	PUNCT
ecj-14088	121	1	j	j	PROPN
ecj-14088	121	2	trauma	trauma	PROPN
ecj-14088	121	3	acute	acute	PROPN
ecj-14088	121	4	care	care	NOUN
ecj-14088	121	5	surg	surg	NOUN
ecj-14088	121	6	2014;76:1131	2014;76:1131	NUM
ecj-14088	121	7	-	-	SYM
ecj-14088	121	8	41	41	NUM
ecj-14088	121	9	.	.	PUNCT
ecj-14088	122	1	13	13	NUM
ecj-14088	122	2	.	.	PUNCT
ecj-14088	122	3	ham	ham	PROPN
ecj-14088	122	4	whw	whw	PROPN
ecj-14088	122	5	,	,	PUNCT
ecj-14088	122	6	schoonhoven	schoonhoven	ADJ
ecj-14088	122	7	l	l	NOUN
ecj-14088	122	8	,	,	PUNCT
ecj-14088	122	9	schuurmans	schuurmans	PROPN
ecj-14088	122	10	mj	mj	PROPN
ecj-14088	122	11	,	,	PUNCT
ecj-14088	122	12	leenen	leenen	PROPN
ecj-14088	122	13	lph	lph	PROPN
ecj-14088	122	14	.	.	PROPN
ecj-14088	123	1	pressure	pressure	NOUN
ecj-14088	123	2	ulcers	ulcer	NOUN
ecj-14088	123	3	,	,	PUNCT
ecj-14088	123	4	indentation	indentation	NOUN
ecj-14088	123	5	marks	mark	NOUN
ecj-14088	123	6	and	and	CCONJ
ecj-14088	123	7	pain	pain	NOUN
ecj-14088	123	8	from	from	ADP
ecj-14088	123	9	cervical	cervical	ADJ
ecj-14088	123	10	spine	spine	ADJ
ecj-14088	123	11	immobilization	immobilization	NOUN
ecj-14088	123	12	with	with	ADP
ecj-14088	123	13	extrication	extrication	NOUN
ecj-14088	123	14	collars	collar	NOUN
ecj-14088	123	15	and	and	CCONJ
ecj-14088	123	16	headblocks	headblock	VERB
ecj-14088	123	17	:	:	PUNCT
ecj-14088	123	18	an	an	DET
ecj-14088	123	19	observational	observational	ADJ
ecj-14088	123	20	study	study	NOUN
ecj-14088	123	21	.	.	PUNCT
ecj-14088	124	1	injury	injury	VERB
ecj-14088	124	2	2016;47:1924	2016;47:1924	NUM
ecj-14088	124	3	-	-	SYM
ecj-14088	124	4	31	31	NUM
ecj-14088	124	5	.	.	PUNCT
ecj-14088	125	1	14	14	NUM
ecj-14088	125	2	.	.	PUNCT
ecj-14088	126	1	yue	yue	PROPN
ecj-14088	126	2	jk	jk	PROPN
ecj-14088	126	3	,	,	PUNCT
ecj-14088	126	4	winkler	winkler	PROPN
ecj-14088	126	5	ea	ea	PROPN
ecj-14088	126	6	,	,	PUNCT
ecj-14088	126	7	rick	rick	PROPN
ecj-14088	126	8	jw	jw	PROPN
ecj-14088	126	9	,	,	PUNCT
ecj-14088	126	10	et	et	PROPN
ecj-14088	126	11	al	al	PROPN
ecj-14088	126	12	.	.	PROPN
ecj-14088	126	13	update	update	NOUN
ecj-14088	126	14	on	on	ADP
ecj-14088	126	15	critical	critical	ADJ
ecj-14088	126	16	care	care	NOUN
ecj-14088	126	17	for	for	ADP
ecj-14088	126	18	acute	acute	ADJ
ecj-14088	126	19	spinal	spinal	NOUN
ecj-14088	126	20	cord	cord	NOUN
ecj-14088	126	21	injury	injury	NOUN
ecj-14088	126	22	in	in	ADP
ecj-14088	126	23	the	the	DET
ecj-14088	126	24	setting	setting	NOUN
ecj-14088	126	25	of	of	ADP
ecj-14088	126	26	polytrauma	polytrauma	NOUN
ecj-14088	126	27	.	.	PUNCT
ecj-14088	127	1	neurosurg	neurosurg	PROPN
ecj-14088	127	2	focus	focus	NOUN
ecj-14088	127	3	2017;43	2017;43	PROPN
ecj-14088	127	4	:	:	PUNCT
ecj-14088	127	5	e19	e19	VERB
ecj-14088	127	6	.	.	PUNCT
ecj-14088	128	1	15	15	NUM
ecj-14088	128	2	.	.	X
ecj-14088	128	3	mitchnik	mitchnik	PROPN
ecj-14088	128	4	iy	iy	PROPN
ecj-14088	128	5	,	,	PUNCT
ecj-14088	128	6	ezra	ezra	PROPN
ecj-14088	128	7	yv	yv	PROPN
ecj-14088	128	8	,	,	PUNCT
ecj-14088	128	9	radomislensky	radomislensky	ADJ
ecj-14088	128	10	i	i	PRON
ecj-14088	128	11	,	,	PUNCT
ecj-14088	128	12	et	et	PROPN
ecj-14088	128	13	al	al	PROPN
ecj-14088	128	14	.	.	PROPN
ecj-14088	128	15	lack	lack	NOUN
ecj-14088	128	16	of	of	ADP
ecj-14088	128	17	association	association	NOUN
ecj-14088	128	18	between	between	ADP
ecj-14088	128	19	cervical	cervical	ADJ
ecj-14088	128	20	spine	spine	ADJ
ecj-14088	128	21	injuries	injury	NOUN
ecj-14088	128	22	and	and	CCONJ
ecj-14088	128	23	prehospital	prehospital	NOUN
ecj-14088	128	24	immobilization	immobilization	NOUN
ecj-14088	128	25	:	:	PUNCT
ecj-14088	128	26	from	from	ADP
ecj-14088	128	27	tradition	tradition	NOUN
ecj-14088	128	28	to	to	ADP
ecj-14088	128	29	evidence	evidence	NOUN
ecj-14088	128	30	.	.	PUNCT
ecj-14088	129	1	j	j	PROPN
ecj-14088	129	2	clin	clin	PROPN
ecj-14088	129	3	med	med	PROPN
ecj-14088	129	4	2024;13:4868	2024;13:4868	NUM
ecj-14088	129	5	.	.	PROPN
ecj-14088	129	6	16	16	NUM
ecj-14088	129	7	.	.	PUNCT
ecj-14088	130	1	lee	lee	PROPN
ecj-14088	130	2	sj	sj	PROPN
ecj-14088	130	3	,	,	PUNCT
ecj-14088	130	4	jian	jian	PROPN
ecj-14088	130	5	l	l	PROPN
ecj-14088	130	6	,	,	PUNCT
ecj-14088	130	7	liu	liu	PROPN
ecj-14088	130	8	cy	cy	PROPN
ecj-14088	130	9	,	,	PUNCT
ecj-14088	130	10	et	et	PROPN
ecj-14088	130	11	al	al	PROPN
ecj-14088	130	12	.	.	PUNCT
ecj-14088	131	1	a	a	DET
ecj-14088	131	2	ten	ten	NUM
ecj-14088	131	3	-	-	PUNCT
ecj-14088	131	4	year	year	NOUN
ecj-14088	131	5	retrospective	retrospective	ADJ
ecj-14088	131	6	cohort	cohort	NOUN
ecj-14088	131	7	study	study	NOUN
ecj-14088	131	8	on	on	ADP
ecj-14088	131	9	neck	neck	NOUN
ecj-14088	131	10	collar	collar	NOUN
ecj-14088	131	11	immobilization	immobilization	NOUN
ecj-14088	131	12	in	in	ADP
ecj-14088	131	13	trauma	trauma	NOUN
ecj-14088	131	14	patients	patient	NOUN
ecj-14088	131	15	with	with	ADP
ecj-14088	131	16	head	head	NOUN
ecj-14088	131	17	and	and	CCONJ
ecj-14088	131	18	neck	neck	NOUN
ecj-14088	131	19	injuries	injury	NOUN
ecj-14088	131	20	.	.	PUNCT
ecj-14088	132	1	medicina	medicina	PROPN
ecj-14088	132	2	(	(	PUNCT
ecj-14088	132	3	kaunas	kaunas	PROPN
ecj-14088	132	4	)	)	PUNCT
ecj-14088	132	5	2023;59:1974	2023;59:1974	NUM
ecj-14088	132	6	.	.	PUNCT
ecj-14088	132	7	17	17	NUM
ecj-14088	132	8	.	.	PUNCT
ecj-14088	133	1	velopulos	velopulos	PROPN
ecj-14088	133	2	cg	cg	PROPN
ecj-14088	133	3	,	,	PUNCT
ecj-14088	133	4	shihab	shihab	PROPN
ecj-14088	133	5	hm	hm	PROPN
ecj-14088	133	6	,	,	PUNCT
ecj-14088	133	7	lottenberg	lottenberg	PROPN
ecj-14088	133	8	l	l	PROPN
ecj-14088	133	9	,	,	PUNCT
ecj-14088	133	10	et	et	PROPN
ecj-14088	133	11	al	al	PROPN
ecj-14088	133	12	.	.	PROPN
ecj-14088	133	13	prehospital	prehospital	PROPN
ecj-14088	133	14	spine	spine	PROPN
ecj-14088	133	15	immobilization	immobilization	NOUN
ecj-14088	133	16	/	/	SYM
ecj-14088	133	17	spinal	spinal	NOUN
ecj-14088	133	18	motion	motion	NOUN
ecj-14088	133	19	restriction	restriction	NOUN
ecj-14088	133	20	in	in	ADP
ecj-14088	133	21	penetrating	penetrate	VERB
ecj-14088	133	22	trauma	trauma	NOUN
ecj-14088	133	23	:	:	PUNCT
ecj-14088	133	24	a	a	DET
ecj-14088	133	25	practice	practice	NOUN
ecj-14088	133	26	management	management	NOUN
ecj-14088	133	27	guideline	guideline	NOUN
ecj-14088	133	28	from	from	ADP
ecj-14088	133	29	the	the	DET
ecj-14088	133	30	eastern	eastern	ADJ
ecj-14088	133	31	association	association	NOUN
ecj-14088	133	32	for	for	ADP
ecj-14088	133	33	the	the	DET
ecj-14088	133	34	surgery	surgery	NOUN
ecj-14088	133	35	of	of	ADP
ecj-14088	133	36	trauma	trauma	NOUN
ecj-14088	133	37	(	(	PUNCT
ecj-14088	133	38	east	east	NOUN
ecj-14088	133	39	)	)	PUNCT
ecj-14088	133	40	.	.	PUNCT
ecj-14088	134	1	j	j	PROPN
ecj-14088	134	2	trauma	trauma	PROPN
ecj-14088	134	3	acute	acute	PROPN
ecj-14088	134	4	care	care	PROPN
ecj-14088	134	5	surg	surg	NOUN
ecj-14088	134	6	2018;84:736	2018;84:736	PROPN
ecj-14088	134	7	-	-	SYM
ecj-14088	134	8	44	44	NUM
ecj-14088	134	9	.	.	PUNCT
ecj-14088	134	10	18	18	NUM
ecj-14088	134	11	.	.	PUNCT
ecj-14088	135	1	vaillancourt	vaillancourt	PROPN
ecj-14088	135	2	c	c	NOUN
ecj-14088	135	3	,	,	PUNCT
ecj-14088	135	4	charette	charette	PROPN
ecj-14088	135	5	m	m	PROPN
ecj-14088	135	6	,	,	PUNCT
ecj-14088	135	7	kasaboski	kasaboski	PROPN
ecj-14088	135	8	a	a	X
ecj-14088	135	9	,	,	PUNCT
ecj-14088	135	10	et	et	PROPN
ecj-14088	135	11	al	al	PROPN
ecj-14088	135	12	.	.	PUNCT
ecj-14088	135	13	evaluation	evaluation	NOUN
ecj-14088	135	14	of	of	ADP
ecj-14088	135	15	the	the	DET
ecj-14088	135	16	safety	safety	NOUN
ecj-14088	135	17	of	of	ADP
ecj-14088	135	18	c	c	NOUN
ecj-14088	135	19	-	-	PUNCT
ecj-14088	135	20	spine	spine	ADJ
ecj-14088	135	21	clearance	clearance	NOUN
ecj-14088	135	22	by	by	ADP
ecj-14088	135	23	paramedics	paramedic	NOUN
ecj-14088	135	24	:	:	PUNCT
ecj-14088	135	25	design	design	NOUN
ecj-14088	135	26	and	and	CCONJ
ecj-14088	135	27	methodology	methodology	NOUN
ecj-14088	135	28	.	.	PUNCT
ecj-14088	136	1	bmc	bmc	PROPN
ecj-14088	136	2	emerg	emerg	PROPN
ecj-14088	136	3	med	med	PROPN
ecj-14088	136	4	2011;11:1	2011;11:1	NUM
ecj-14088	136	5	.	.	PUNCT
ecj-14088	137	1	19	19	NUM
ecj-14088	137	2	.	.	PUNCT
ecj-14088	137	3	hoffman	hoffman	PROPN
ecj-14088	137	4	jr	jr	PROPN
ecj-14088	137	5	,	,	PUNCT
ecj-14088	137	6	wolfson	wolfson	PROPN
ecj-14088	137	7	ab	ab	PROPN
ecj-14088	137	8	,	,	PUNCT
ecj-14088	137	9	todd	todd	PROPN
ecj-14088	137	10	k	k	PROPN
ecj-14088	137	11	,	,	PUNCT
ecj-14088	137	12	mower	mower	PROPN
ecj-14088	137	13	wr	wr	PROPN
ecj-14088	137	14	.	.	PUNCT
ecj-14088	137	15	selective	selective	ADJ
ecj-14088	137	16	cervical	cervical	ADJ
ecj-14088	137	17	spine	spine	ADJ
ecj-14088	137	18	radiography	radiography	NOUN
ecj-14088	137	19	in	in	ADP
ecj-14088	137	20	blunt	blunt	ADJ
ecj-14088	137	21	trauma	trauma	NOUN
ecj-14088	137	22	:	:	PUNCT
ecj-14088	137	23	methodology	methodology	NOUN
ecj-14088	137	24	of	of	ADP
ecj-14088	137	25	the	the	DET
ecj-14088	137	26	national	national	ADJ
ecj-14088	137	27	emergency	emergency	NOUN
ecj-14088	137	28	x	x	NOUN
ecj-14088	137	29	-	-	NOUN
ecj-14088	137	30	radiography	radiography	NOUN
ecj-14088	137	31	utilization	utilization	NOUN
ecj-14088	137	32	study	study	NOUN
ecj-14088	137	33	(	(	PUNCT
ecj-14088	137	34	nexus	nexus	NOUN
ecj-14088	137	35	)	)	PUNCT
ecj-14088	137	36	.	.	PUNCT
ecj-14088	138	1	ann	ann	PROPN
ecj-14088	138	2	emerg	emerg	PROPN
ecj-14088	138	3	med	med	PROPN
ecj-14088	138	4	1998;32:461	1998;32:461	NUM
ecj-14088	138	5	-	-	SYM
ecj-14088	138	6	9	9	NUM
ecj-14088	138	7	.	.	NOUN
ecj-14088	138	8	20	20	NUM
ecj-14088	138	9	.	.	PUNCT
ecj-14088	139	1	häske	häske	PROPN
ecj-14088	139	2	d	d	PROPN
ecj-14088	139	3	,	,	PUNCT
ecj-14088	139	4	blumenstock	blumenstock	NOUN
ecj-14088	139	5	g	g	NOUN
ecj-14088	139	6	,	,	PUNCT
ecj-14088	139	7	hossfeld	hossfeld	PROPN
ecj-14088	139	8	b	b	NUM
ecj-14088	139	9	,	,	PUNCT
ecj-14088	139	10	et	et	PROPN
ecj-14088	139	11	al	al	PROPN
ecj-14088	139	12	.	.	PUNCT
ecj-14088	140	1	the	the	DET
ecj-14088	140	2	immo	immo	ADJ
ecj-14088	140	3	traffic	traffic	NOUN
ecj-14088	140	4	light	light	NOUN
ecj-14088	140	5	system	system	NOUN
ecj-14088	140	6	as	as	ADP
ecj-14088	140	7	a	a	DET
ecj-14088	140	8	decision	decision	NOUN
ecj-14088	140	9	-	-	PUNCT
ecj-14088	140	10	making	make	VERB
ecj-14088	140	11	tool	tool	NOUN
ecj-14088	140	12	for	for	ADP
ecj-14088	140	13	prehospital	prehospital	ADJ
ecj-14088	140	14	spinal	spinal	NOUN
ecj-14088	140	15	immobilization	immobilization	NOUN
ecj-14088	140	16	—	—	PUNCT
ecj-14088	140	17	a	a	DET
ecj-14088	140	18	systematic	systematic	ADJ
ecj-14088	140	19	review	review	NOUN
ecj-14088	140	20	.	.	PUNCT
ecj-14088	141	1	dtsch	dtsch	PROPN
ecj-14088	141	2	arztebl	arztebl	PROPN
ecj-14088	141	3	int	int	PROPN
ecj-14088	141	4	2022;119:753	2022;119:753	NUM
ecj-14088	141	5	-	-	SYM
ecj-14088	141	6	8	8	NUM
ecj-14088	141	7	.	.	NUM
ecj-14088	141	8	21	21	NUM
ecj-14088	141	9	.	.	PUNCT
ecj-14088	142	1	van	van	PROPN
ecj-14088	142	2	de	de	PROPN
ecj-14088	142	3	breevaart	breevaart	PROPN
ecj-14088	142	4	oj	oj	PROPN
ecj-14088	142	5	,	,	PUNCT
ecj-14088	142	6	van	van	PROPN
ecj-14088	142	7	der	der	NOUN
ecj-14088	142	8	waarden	waarden	VERB
ecj-14088	142	9	nwpl	nwpl	VERB
ecj-14088	142	10	,	,	PUNCT
ecj-14088	142	11	schoonhoven	schoonhoven	ADJ
ecj-14088	142	12	l	l	NOUN
ecj-14088	142	13	,	,	PUNCT
ecj-14088	142	14	et	et	PROPN
ecj-14088	142	15	al	al	PROPN
ecj-14088	142	16	.	.	PUNCT
ecj-14088	143	1	patient	patient	ADJ
ecj-14088	143	2	outcomes	outcome	NOUN
ecj-14088	143	3	before	before	ADV
ecj-14088	143	4	and	and	CCONJ
ecj-14088	143	5	after	after	ADP
ecj-14088	143	6	implementation	implementation	NOUN
ecj-14088	143	7	of	of	ADP
ecj-14088	143	8	a	a	DET
ecj-14088	143	9	selective	selective	ADJ
ecj-14088	143	10	pre	pre	ADJ
ecj-14088	143	11	-	-	ADJ
ecj-14088	143	12	hospital	hospital	ADJ
ecj-14088	143	13	spinal	spinal	NOUN
ecj-14088	143	14	immobilization	immobilization	NOUN
ecj-14088	143	15	protocol	protocol	NOUN
ecj-14088	143	16	:	:	PUNCT
ecj-14088	143	17	a	a	DET
ecj-14088	143	18	comparative	comparative	ADJ
ecj-14088	143	19	cohort	cohort	NOUN
ecj-14088	143	20	pilot	pilot	NOUN
ecj-14088	143	21	study	study	NOUN
ecj-14088	143	22	in	in	ADP
ecj-14088	143	23	a	a	DET
ecj-14088	143	24	level	level	NOUN
ecj-14088	143	25	2	2	NUM
ecj-14088	143	26	trauma	trauma	NOUN
ecj-14088	143	27	center	center	NOUN
ecj-14088	143	28	.	.	PUNCT
ecj-14088	144	1	int	int	PROPN
ecj-14088	144	2	emerg	emerg	PROPN
ecj-14088	144	3	nurs	nur	VERB
ecj-14088	144	4	2023;70:101345	2023;70:101345	NUM
ecj-14088	144	5	.	.	PUNCT
ecj-14088	145	1	22	22	NUM
ecj-14088	145	2	.	.	PUNCT
ecj-14088	146	1	häske	häske	PROPN
ecj-14088	146	2	d	d	NOUN
ecj-14088	146	3	,	,	PUNCT
ecj-14088	146	4	schier	schi	ADJ
ecj-14088	146	5	l	l	NOUN
ecj-14088	146	6	,	,	PUNCT
ecj-14088	146	7	weerts	weerts	PROPN
ecj-14088	146	8	jon	jon	PROPN
ecj-14088	146	9	,	,	PUNCT
ecj-14088	146	10	et	et	PROPN
ecj-14088	146	11	al	al	PROPN
ecj-14088	146	12	.	.	PUNCT
ecj-14088	147	1	an	an	DET
ecj-14088	147	2	explorative	explorative	ADJ
ecj-14088	147	3	,	,	PUNCT
ecj-14088	147	4	biomechanical	biomechanical	ADJ
ecj-14088	147	5	analysis	analysis	NOUN
ecj-14088	147	6	of	of	ADP
ecj-14088	147	7	spine	spine	ADJ
ecj-14088	147	8	motion	motion	NOUN
ecj-14088	147	9	during	during	ADP
ecj-14088	147	10	out	out	ADV
ecj-14088	147	11	-	-	PUNCT
ecj-14088	147	12	of	of	ADP
ecj-14088	147	13	-	-	PUNCT
ecj-14088	147	14	hospital	hospital	NOUN
ecj-14088	147	15	extrication	extrication	NOUN
ecj-14088	147	16	procedures	procedure	NOUN
ecj-14088	147	17	.	.	PUNCT
ecj-14088	148	1	injury	injury	NOUN
ecj-14088	148	2	2020;51:185	2020;51:185	NOUN
ecj-14088	148	3	-	-	SYM
ecj-14088	148	4	92	92	NUM
ecj-14088	148	5	.	.	PUNCT
ecj-14088	149	1	23	23	NUM
ecj-14088	149	2	.	.	PUNCT
ecj-14088	150	1	habibi	habibi	PROPN
ecj-14088	150	2	arejan	arejan	PROPN
ecj-14088	150	3	r	r	PROPN
ecj-14088	150	4	,	,	PUNCT
ecj-14088	150	5	asgardoon	asgardoon	PROPN
ecj-14088	150	6	mh	mh	PROPN
ecj-14088	150	7	,	,	PUNCT
ecj-14088	150	8	shabany	shabany	PROPN
ecj-14088	150	9	m	m	PROPN
ecj-14088	150	10	,	,	PUNCT
ecj-14088	150	11	et	et	PROPN
ecj-14088	150	12	al	al	PROPN
ecj-14088	150	13	.	.	PUNCT
ecj-14088	151	1	evaluating	evaluate	VERB
ecj-14088	151	2	prehospital	prehospital	NOUN
ecj-14088	151	3	care	care	NOUN
ecj-14088	151	4	of	of	ADP
ecj-14088	151	5	patients	patient	NOUN
ecj-14088	151	6	with	with	ADP
ecj-14088	151	7	potential	potential	ADJ
ecj-14088	151	8	traumatic	traumatic	ADJ
ecj-14088	151	9	spinal	spinal	NOUN
ecj-14088	151	10	cord	cord	NOUN
ecj-14088	151	11	injury	injury	NOUN
ecj-14088	151	12	:	:	PUNCT
ecj-14088	151	13	scoping	scope	VERB
ecj-14088	151	14	review	review	NOUN
ecj-14088	151	15	.	.	PUNCT
ecj-14088	152	1	eur	eur	PROPN
ecj-14088	152	2	spine	spine	NOUN
ecj-14088	152	3	j	j	PROPN
ecj-14088	152	4	2022;31:1309	2022;31:1309	PROPN
ecj-14088	152	5	-	-	SYM
ecj-14088	152	6	29	29	NUM
ecj-14088	152	7	.	.	PUNCT
ecj-14088	153	1	24	24	NUM
ecj-14088	153	2	.	.	PUNCT
ecj-14088	154	1	theodore	theodore	PROPN
ecj-14088	154	2	n	n	CCONJ
ecj-14088	154	3	,	,	PUNCT
ecj-14088	154	4	hadley	hadley	PROPN
ecj-14088	154	5	mn	mn	PROPN
ecj-14088	154	6	,	,	PUNCT
ecj-14088	154	7	aarabi	aarabi	PROPN
ecj-14088	154	8	b	b	PROPN
ecj-14088	154	9	,	,	PUNCT
ecj-14088	154	10	et	et	PROPN
ecj-14088	154	11	al	al	PROPN
ecj-14088	154	12	.	.	PROPN
ecj-14088	154	13	prehospital	prehospital	ADJ
ecj-14088	154	14	cervical	cervical	ADJ
ecj-14088	154	15	spinal	spinal	NOUN
ecj-14088	154	16	immobilization	immobilization	NOUN
ecj-14088	154	17	after	after	ADP
ecj-14088	154	18	trauma	trauma	NOUN
ecj-14088	154	19	.	.	PUNCT
ecj-14088	155	1	neurosurgery	neurosurgery	NOUN
ecj-14088	155	2	2013;72:2234	2013;72:2234	NUM
ecj-14088	155	3	.	.	PUNCT
ecj-14088	155	4	25	25	NUM
ecj-14088	155	5	.	.	PUNCT
ecj-14088	156	1	stuby	stuby	PROPN
ecj-14088	156	2	l	l	NOUN
ecj-14088	156	3	,	,	PUNCT
ecj-14088	156	4	thurre	thurre	PROPN
ecj-14088	156	5	d.	d.	PROPN
ecj-14088	156	6	time	time	PROPN
ecj-14088	156	7	performance	performance	NOUN
ecj-14088	156	8	of	of	ADP
ecj-14088	156	9	scoop	scoop	NOUN
ecj-14088	156	10	stretcher	stretcher	NOUN
ecj-14088	156	11	versus	versus	ADP
ecj-14088	156	12	vacuum	vacuum	NOUN
ecj-14088	156	13	mattress	mattress	NOUN
ecj-14088	156	14	for	for	ADP
ecj-14088	156	15	prehospital	prehospital	ADJ
ecj-14088	156	16	spinal	spinal	NOUN
ecj-14088	156	17	stabilization	stabilization	NOUN
ecj-14088	156	18	:	:	PUNCT
ecj-14088	156	19	open	open	ADJ
ecj-14088	156	20	-	-	PUNCT
ecj-14088	156	21	label	label	NOUN
ecj-14088	156	22	simulation	simulation	NOUN
ecj-14088	156	23	-	-	PUNCT
ecj-14088	156	24	based	base	VERB
ecj-14088	156	25	randomized	randomize	VERB
ecj-14088	156	26	controlled	control	VERB
ecj-14088	156	27	trial	trial	NOUN
ecj-14088	156	28	.	.	PUNCT
ecj-14088	157	1	emerg	emerg	PROPN
ecj-14088	157	2	care	care	NOUN
ecj-14088	157	3	j	j	PROPN
ecj-14088	157	4	2024;20:12226	2024;20:12226	NUM
ecj-14088	157	5	.	.	PROPN
ecj-14088	157	6	26	26	NUM
ecj-14088	157	7	.	.	PUNCT
ecj-14088	158	1	tello	tello	PROPN
ecj-14088	158	2	rr	rr	PROPN
ecj-14088	158	3	,	,	PUNCT
ecj-14088	158	4	braude	braude	NOUN
ecj-14088	158	5	d	d	PROPN
ecj-14088	158	6	,	,	PUNCT
ecj-14088	158	7	fullerton	fullerton	PROPN
ecj-14088	158	8	l	l	PROPN
ecj-14088	158	9	,	,	PUNCT
ecj-14088	158	10	froman	froman	ADJ
ecj-14088	158	11	p.	p.	NOUN
ecj-14088	158	12	outcome	outcome	NOUN
ecj-14088	158	13	of	of	ADP
ecj-14088	158	14	trauma	trauma	NOUN
ecj-14088	158	15	patients	patient	NOUN
ecj-14088	158	16	immobilized	immobilize	VERB
ecj-14088	158	17	by	by	ADP
ecj-14088	158	18	emergency	emergency	NOUN
ecj-14088	158	19	department	department	NOUN
ecj-14088	158	20	staff	staff	NOUN
ecj-14088	158	21	,	,	PUNCT
ecj-14088	158	22	but	but	CCONJ
ecj-14088	158	23	not	not	PART
ecj-14088	158	24	by	by	ADP
ecj-14088	158	25	emergency	emergency	NOUN
ecj-14088	158	26	medical	medical	ADJ
ecj-14088	158	27	services	service	NOUN
ecj-14088	158	28	providers	provider	NOUN
ecj-14088	158	29	:	:	PUNCT
ecj-14088	158	30	a	a	DET
ecj-14088	158	31	quality	quality	NOUN
ecj-14088	158	32	assurance	assurance	NOUN
ecj-14088	158	33	initiative	initiative	NOUN
ecj-14088	158	34	.	.	PUNCT
ecj-14088	159	1	prehospital	prehospital	PROPN
ecj-14088	159	2	emerg	emerg	PROPN
ecj-14088	159	3	care	care	NOUN
ecj-14088	159	4	2014;18:544	2014;18:544	NOUN
ecj-14088	159	5	-	-	SYM
ecj-14088	159	6	9	9	NUM
ecj-14088	159	7	.	.	NOUN
ecj-14088	159	8	27	27	NUM
ecj-14088	159	9	.	.	PUNCT
ecj-14088	160	1	baethge	baethge	PROPN
ecj-14088	160	2	c	c	PROPN
ecj-14088	160	3	,	,	PUNCT
ecj-14088	160	4	goldbeck	goldbeck	NOUN
ecj-14088	160	5	-	-	PUNCT
ecj-14088	160	6	wood	wood	NOUN
ecj-14088	160	7	s	s	NOUN
ecj-14088	160	8	,	,	PUNCT
ecj-14088	160	9	mertens	mertens	PROPN
ecj-14088	160	10	s.	s.	PROPN
ecj-14088	160	11	sanra	sanra	PROPN
ecj-14088	160	12	—	—	PUNCT
ecj-14088	160	13	a	a	DET
ecj-14088	160	14	scale	scale	NOUN
ecj-14088	160	15	for	for	ADP
ecj-14088	160	16	the	the	DET
ecj-14088	160	17	quality	quality	NOUN
ecj-14088	160	18	assessment	assessment	NOUN
ecj-14088	160	19	of	of	ADP
ecj-14088	160	20	narrative	narrative	NOUN
ecj-14088	160	21	review	review	NOUN
ecj-14088	160	22	articles	article	NOUN
ecj-14088	160	23	.	.	PUNCT
ecj-14088	161	1	res	re	NOUN
ecj-14088	161	2	integr	integr	PROPN
ecj-14088	161	3	peer	peer	PROPN
ecj-14088	161	4	rev	rev	PROPN
ecj-14088	161	5	2019;4:5	2019;4:5	NUM
ecj-14088	161	6	.	.	PUNCT
ecj-14088	162	1	28	28	NUM
ecj-14088	162	2	.	.	PUNCT
ecj-14088	162	3	page	page	NOUN
ecj-14088	162	4	mj	mj	PROPN
ecj-14088	162	5	,	,	PUNCT
ecj-14088	162	6	mckenzie	mckenzie	PROPN
ecj-14088	162	7	je	je	PROPN
ecj-14088	162	8	,	,	PUNCT
ecj-14088	162	9	bossuyt	bossuyt	NOUN
ecj-14088	162	10	pm	pm	NOUN
ecj-14088	162	11	,	,	PUNCT
ecj-14088	162	12	et	et	PROPN
ecj-14088	162	13	al	al	PROPN
ecj-14088	162	14	.	.	PUNCT
ecj-14088	163	1	the	the	DET
ecj-14088	163	2	prisma	prisma	PROPN
ecj-14088	163	3	2020	2020	NUM
ecj-14088	163	4	statement	statement	NOUN
ecj-14088	163	5	:	:	PUNCT
ecj-14088	163	6	an	an	DET
ecj-14088	163	7	updated	update	VERB
ecj-14088	163	8	guideline	guideline	NOUN
ecj-14088	163	9	for	for	ADP
ecj-14088	163	10	reporting	report	VERB
ecj-14088	163	11	systematic	systematic	ADJ
ecj-14088	163	12	reviews	review	NOUN
ecj-14088	163	13	.	.	PUNCT
ecj-14088	164	1	bmj	bmj	PROPN
ecj-14088	164	2	2021;372:71	2021;372:71	NUM
ecj-14088	164	3	.	.	PROPN
ecj-14088	164	4	29	29	NUM
ecj-14088	164	5	.	.	PUNCT
ecj-14088	165	1	tricco	tricco	PROPN
ecj-14088	165	2	ac	ac	PROPN
ecj-14088	165	3	,	,	PUNCT
ecj-14088	165	4	lillie	lillie	PROPN
ecj-14088	165	5	e	e	PROPN
ecj-14088	165	6	,	,	PUNCT
ecj-14088	165	7	zarin	zarin	PROPN
ecj-14088	165	8	w	w	PROPN
ecj-14088	165	9	,	,	PUNCT
ecj-14088	165	10	et	et	PROPN
ecj-14088	165	11	al	al	PROPN
ecj-14088	165	12	.	.	PUNCT
ecj-14088	166	1	prisma	prisma	PROPN
ecj-14088	166	2	extension	extension	NOUN
ecj-14088	166	3	for	for	ADP
ecj-14088	166	4	scoping	scope	VERB
ecj-14088	166	5	reviews	review	NOUN
ecj-14088	166	6	(	(	PUNCT
ecj-14088	166	7	prisma	prisma	NOUN
ecj-14088	166	8	-	-	PUNCT
ecj-14088	166	9	scr	scr	NOUN
ecj-14088	166	10	):	):	PUNCT
ecj-14088	166	11	checklist	checklist	NOUN
ecj-14088	166	12	and	and	CCONJ
ecj-14088	166	13	explanation	explanation	NOUN
ecj-14088	166	14	.	.	PUNCT
ecj-14088	167	1	ann	ann	PROPN
ecj-14088	167	2	internal	internal	PROPN
ecj-14088	167	3	med	med	PROPN
ecj-14088	167	4	am	am	PROPN
ecj-14088	167	5	college	college	NOUN
ecj-14088	167	6	physicians	physician	NOUN
ecj-14088	167	7	2018;169:467	2018;169:467	NUM
ecj-14088	167	8	-	-	SYM
ecj-14088	167	9	73	73	NUM
ecj-14088	167	10	.	.	PUNCT
ecj-14088	168	1	30	30	NUM
ecj-14088	168	2	.	.	PUNCT
ecj-14088	169	1	pollock	pollock	NOUN
ecj-14088	169	2	d	d	PROPN
ecj-14088	169	3	,	,	PUNCT
ecj-14088	169	4	peters	peters	PROPN
ecj-14088	169	5	mdj	mdj	PROPN
ecj-14088	169	6	,	,	PUNCT
ecj-14088	169	7	khalil	khalil	PROPN
ecj-14088	169	8	h	h	PROPN
ecj-14088	169	9	,	,	PUNCT
ecj-14088	169	10	et	et	PROPN
ecj-14088	169	11	al	al	PROPN
ecj-14088	169	12	.	.	PUNCT
ecj-14088	170	1	recommendations	recommendation	NOUN
ecj-14088	170	2	for	for	ADP
ecj-14088	170	3	the	the	DET
ecj-14088	170	4	extraction	extraction	NOUN
ecj-14088	170	5	,	,	PUNCT
ecj-14088	170	6	analysis	analysis	NOUN
ecj-14088	170	7	,	,	PUNCT
ecj-14088	170	8	and	and	CCONJ
ecj-14088	170	9	presentation	presentation	NOUN
ecj-14088	170	10	of	of	ADP
ecj-14088	170	11	results	result	NOUN
ecj-14088	170	12	in	in	ADP
ecj-14088	170	13	scoping	scope	VERB
ecj-14088	170	14	reviews	review	NOUN
ecj-14088	170	15	.	.	PUNCT
ecj-14088	171	1	jbi	jbi	VERB
ecj-14088	171	2	evid	evid	PROPN
ecj-14088	171	3	synth	synth	PROPN
ecj-14088	171	4	2023;21:520	2023;21:520	NUM
ecj-14088	171	5	-	-	SYM
ecj-14088	171	6	32	32	NUM
ecj-14088	171	7	.	.	PUNCT
ecj-14088	172	1	31	31	NUM
ecj-14088	172	2	.	.	PUNCT
ecj-14088	173	1	jin	jin	PROPN
ecj-14088	173	2	pfk	pfk	PROPN
ecj-14088	173	3	,	,	PUNCT
ecj-14088	173	4	goslings	gosling	NOUN
ecj-14088	173	5	jc	jc	PROPN
ecj-14088	173	6	,	,	PUNCT
ecj-14088	173	7	luitse	luitse	PROPN
ecj-14088	173	8	j	j	PROPN
ecj-14088	173	9	,	,	PUNCT
ecj-14088	173	10	ponsen	ponsen	VERB
ecj-14088	173	11	kj	kj	PROPN
ecj-14088	173	12	.	.	PUNCT
ecj-14088	174	1	a	a	DET
ecj-14088	174	2	retrospective	retrospective	ADJ
ecj-14088	174	3	study	study	NOUN
ecj-14088	174	4	of	of	ADP
ecj-14088	174	5	five	five	NUM
ecj-14088	174	6	clinical	clinical	ADJ
ecj-14088	174	7	criteria	criterion	NOUN
ecj-14088	174	8	and	and	CCONJ
ecj-14088	174	9	one	one	NUM
ecj-14088	174	10	age	age	NOUN
ecj-14088	174	11	criterion	criterion	NOUN
ecj-14088	174	12	for	for	ADP
ecj-14088	174	13	selective	selective	ADJ
ecj-14088	174	14	prehospital	prehospital	ADJ
ecj-14088	174	15	spinal	spinal	NOUN
ecj-14088	174	16	immobilization	immobilization	NOUN
ecj-14088	174	17	.	.	PUNCT
ecj-14088	175	1	eur	eur	PROPN
ecj-14088	175	2	j	j	PROPN
ecj-14088	175	3	trauma	trauma	PROPN
ecj-14088	175	4	emerg	emerg	PROPN
ecj-14088	175	5	surg	surg	NOUN
ecj-14088	175	6	2007;33:401	2007;33:401	NUM
ecj-14088	175	7	-	-	SYM
ecj-14088	175	8	6	6	NUM
ecj-14088	175	9	.	.	NOUN
ecj-14088	175	10	32	32	NUM
ecj-14088	175	11	.	.	PUNCT
ecj-14088	176	1	peery	peery	NOUN
ecj-14088	176	2	ca	ca	PROPN
ecj-14088	176	3	,	,	PUNCT
ecj-14088	176	4	brice	brice	PROPN
ecj-14088	176	5	j	j	PROPN
ecj-14088	176	6	,	,	PUNCT
ecj-14088	176	7	white	white	PROPN
ecj-14088	176	8	wd	wd	PROPN
ecj-14088	176	9	.	.	PUNCT
ecj-14088	176	10	prehospital	prehospital	ADJ
ecj-14088	176	11	spinal	spinal	NOUN
ecj-14088	176	12	immobilization	immobilization	NOUN
ecj-14088	176	13	and	and	CCONJ
ecj-14088	176	14	the	the	DET
ecj-14088	176	15	backboard	backboard	NOUN
ecj-14088	176	16	quality	quality	NOUN
ecj-14088	176	17	assessment	assessment	NOUN
ecj-14088	176	18	study	study	NOUN
ecj-14088	176	19	.	.	PUNCT
ecj-14088	177	1	prehospital	prehospital	PROPN
ecj-14088	177	2	emerg	emerg	PROPN
ecj-14088	177	3	care	care	NOUN
ecj-14088	177	4	2007;11:293	2007;11:293	NUM
ecj-14088	177	5	-	-	SYM
ecj-14088	177	6	7	7	NUM
ecj-14088	177	7	.	.	NOUN
ecj-14088	177	8	33	33	NUM
ecj-14088	177	9	.	.	PUNCT
ecj-14088	178	1	häske	häske	PROPN
ecj-14088	178	2	d	d	PROPN
ecj-14088	178	3	,	,	PUNCT
ecj-14088	178	4	lefering	lefere	VERB
ecj-14088	178	5	r	r	NOUN
ecj-14088	178	6	,	,	PUNCT
ecj-14088	178	7	stock	stock	NOUN
ecj-14088	178	8	jp	jp	NOUN
ecj-14088	178	9	,	,	PUNCT
ecj-14088	178	10	kreinest	kreinest	ADJ
ecj-14088	178	11	m.	m.	NOUN
ecj-14088	178	12	epidemiology	epidemiology	NOUN
ecj-14088	178	13	and	and	CCONJ
ecj-14088	178	14	predictors	predictor	NOUN
ecj-14088	178	15	of	of	ADP
ecj-14088	178	16	traumatic	traumatic	ADJ
ecj-14088	178	17	spine	spine	ADJ
ecj-14088	178	18	injury	injury	NOUN
ecj-14088	178	19	in	in	ADP
ecj-14088	178	20	severely	severely	ADV
ecj-14088	178	21	injured	injure	VERB
ecj-14088	178	22	patients	patient	NOUN
ecj-14088	178	23	:	:	PUNCT
ecj-14088	178	24	implications	implication	NOUN
ecj-14088	178	25	for	for	ADP
ecj-14088	178	26	emergency	emergency	NOUN
ecj-14088	178	27	procedures	procedure	NOUN
ecj-14088	178	28	.	.	PUNCT
ecj-14088	179	1	eur	eur	PROPN
ecj-14088	179	2	j	j	PROPN
ecj-14088	179	3	trauma	trauma	PROPN
ecj-14088	179	4	emerg	emerg	PROPN
ecj-14088	179	5	surg	surg	NOUN
ecj-14088	179	6	2022;48:1975	2022;48:1975	PROPN
ecj-14088	179	7	-	-	PUNCT
ecj-14088	179	8	83	83	NUM
ecj-14088	179	9	.	.	PUNCT
ecj-14088	179	10	34	34	NUM
ecj-14088	179	11	.	.	PUNCT
ecj-14088	180	1	vaillancourt	vaillancourt	PROPN
ecj-14088	180	2	c	c	NOUN
ecj-14088	180	3	,	,	PUNCT
ecj-14088	180	4	charette	charette	PROPN
ecj-14088	180	5	m	m	PROPN
ecj-14088	180	6	,	,	PUNCT
ecj-14088	180	7	taljaard	taljaard	PROPN
ecj-14088	180	8	m	m	PROPN
ecj-14088	180	9	,	,	PUNCT
ecj-14088	180	10	et	et	PROPN
ecj-14088	180	11	al	al	PROPN
ecj-14088	180	12	.	.	PUNCT
ecj-14088	181	1	pragmatic	pragmatic	ADJ
ecj-14088	181	2	strategy	strategy	NOUN
ecj-14088	181	3	empowering	empower	VERB
ecj-14088	181	4	paramedics	paramedic	NOUN
ecj-14088	181	5	to	to	PART
ecj-14088	181	6	assess	assess	VERB
ecj-14088	181	7	low	low	ADJ
ecj-14088	181	8	-	-	PUNCT
ecj-14088	181	9	risk	risk	NOUN
ecj-14088	181	10	trauma	trauma	NOUN
ecj-14088	181	11	patients	patient	NOUN
ecj-14088	181	12	with	with	ADP
ecj-14088	181	13	the	the	DET
ecj-14088	181	14	canadian	canadian	ADJ
ecj-14088	181	15	c	c	NOUN
ecj-14088	181	16	-	-	PUNCT
ecj-14088	181	17	spine	spine	ADJ
ecj-14088	181	18	rule	rule	NOUN
ecj-14088	181	19	and	and	CCONJ
ecj-14088	181	20	selectively	selectively	ADV
ecj-14088	181	21	transport	transport	VERB
ecj-14088	181	22	them	they	PRON
ecj-14088	181	23	without	without	ADP
ecj-14088	181	24	immobilization	immobilization	NOUN
ecj-14088	181	25	:	:	PUNCT
ecj-14088	181	26	protocol	protocol	NOUN
ecj-14088	181	27	for	for	ADP
ecj-14088	181	28	a	a	DET
ecj-14088	181	29	stepped	step	VERB
ecj-14088	181	30	-	-	PUNCT
ecj-14088	181	31	wedge	wedge	NOUN
ecj-14088	181	32	cluster	cluster	NOUN
ecj-14088	181	33	randomized	randomize	VERB
ecj-14088	181	34	trial	trial	NOUN
ecj-14088	181	35	.	.	PUNCT
ecj-14088	182	1	jmir	jmir	PROPN
ecj-14088	182	2	res	re	NOUN
ecj-14088	182	3	protoc	protoc	VERB
ecj-14088	182	4	2020;9	2020;9	NOUN
ecj-14088	182	5	:	:	PUNCT
ecj-14088	182	6	e16966	e16966	PROPN
ecj-14088	182	7	.	.	PUNCT
ecj-14088	183	1	review	review	NOUN
ecj-14088	184	1	[	[	X
ecj-14088	184	2	page	page	NOUN
ecj-14088	184	3	50	50	NUM
ecj-14088	184	4	]	]	PUNCT
ecj-14088	185	1	[	[	X
ecj-14088	185	2	emergency	emergency	NOUN
ecj-14088	185	3	care	care	NOUN
ecj-14088	185	4	journal	journal	NOUN
ecj-14088	185	5	2025	2025	NUM
ecj-14088	185	6	;	;	PUNCT
ecj-14088	185	7	21:14088	21:14088	NUM
ecj-14088	185	8	]	]	X
ecj-14088	185	9	online	online	ADJ
ecj-14088	185	10	supplementary	supplementary	ADJ
ecj-14088	185	11	materials	material	NOUN
ecj-14088	185	12	:	:	PUNCT
ecj-14088	185	13	table	table	NOUN
ecj-14088	185	14	1	1	NUM
ecj-14088	185	15	table	table	NOUN
ecj-14088	185	16	2	2	NUM
ecj-14088	185	17	article	article	NOUN
ecj-14088	185	18	[	[	X
ecj-14088	185	19	emergency	emergency	NOUN
ecj-14088	185	20	care	care	NOUN
ecj-14088	185	21	journal	journal	NOUN
ecj-14088	185	22	2025	2025	NUM
ecj-14088	185	23	;	;	PUNCT
ecj-14088	185	24	21	21	NUM
ecj-14088	185	25	:]	:]	X
ecj-14088	186	1	[	[	X
ecj-14088	186	2	page	page	NOUN
ecj-14088	186	3	51	51	NUM
ecj-14088	186	4	]	]	PUNCT