The majority of patients will trigger emergency medical services when a spinal injury is suspected. The primary goals of prehospital care are to maintain adequate oxygenation, ventilation, perfusion, and spinal immobilization for the purpose of preventing additional neurologic injury. Specific diagnosis of a spinal injury is not necessary; rather, patients with suspected cord or column injuries should be treated as though an injury is present. Notably, these goals of treatment are based on expert opinion and logical practice. There are no studies indicating any of these prehospital interventions prevent further neurologic injury.
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