Rethinking the Management of Spinal Cord Injuries w/ Michael Millin, MD, MPH & Benjamin Abo, DO, Paramedic

Summary generated by Riverside AI.Mustafa Sidik and Dr. Jim Brady sit down with Dr. Michael Millin and Dr. Ben Abo to discuss their recent paper, Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries - A NAEMSP Comprehensive Review and Analysis of the Literature. During the episode, they discuss the importance of evidence-based practices in EMS, challenging traditional dogmas surrounding spinal motion restriction. They emphasize the need for a shift in protocols to prioritize patient comfort and perfusion over rigid immobilization techniques. The discussion highlights the ethical implications of current practices and the necessity for ongoing research to improve patient outcomes in emergency medicine.Link to the paper: https://www.tandfonline.com/doi/10.1080/10903127.2025.2541258?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmedKeywords: EMS, spinal cord injuries, trauma compendium, patient safety, spinal motion restriction, medical ethics, emergency medicine, research methodology, patient care, perfusionChapters00:00 Introduction to EMS and Personal Experiences05:46 Exploring the Paper: Background and Purpose11:14 Scientific Rigor and Methodology16:34 Research Findings and Implications22:05 Discussion on Evidence and Hypotheses27:42 Pathophysiology and Patient Care32:58 Historical Context and Evolution of Practices35:53 Spinal Immobilization: The Maryland Way39:18 The Harms of Spinal Motion Restriction42:39 Effectiveness of Spinal Motion Restriction Procedures45:34 Limitations and Future Directions50:11 Perfusion and Patient Management55:07 Challenging the Status Quo in EMS59:43 The Importance of Evidence-Based Medicine

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