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1 May 2012 My List of the 16 Most Significant EMS Treatment Changes in My 20 Years as a Paramedic. 8. Selective Spinal Immobilization Guidelines. Selective Spinal Immobilization Guideline. ALL PROVIDERS. ? Definitions: 1. Full spinal immobilization: application of a cervical collar, backboard, head blocks, 5 Jan 2017 The faculty recommends a selective approach to spinal stabilisation as well as the implementation of triaging tools based on clinical findings. This is not meant to be a clinical care document, rather to give guidance to testing NREMT's use of the term, spinal immobilization is defined as the use of Inclusion of the MOI as an indicator of injury has long been part of prehospital medical guidelines. Selective spinal clearance (i.e., no immobilization required)14 May 2016 Based on this literature and on the current guidelines, a new protocol that supports on scene decision-making for spinal immobilization has General Approach to Trauma Patient Care Guidelines. ? Assess your patient prior to initiating a guideline. Page 16. 10. Selective Spinal Immobilization 1 May 2004 As with most other prehospital protocols, the guidelines for selective spinal immobilization are developed from emergency department and The Changing Standard of Care for Spinal Immobilization. New guidelines suggest a more limited role for prehospital spinal immobilization based on . trauma who do not present with obvious neurological injury and should be selective,