Which services require spinal immobilization for penetrating trauma?

[Bullets]

http://traumatoday.com/prehospital-spine-immobilization-for-penetrating-trauma.html

This is kinda what you are looking for. Basically the extended scene times futzing around with a backboard that has no evidence it does anything increases mortality for penetrating trauma patients.

And to the person who quoted PHTLS, I actually reread the book and yes, you're right, that quote is in the 2007(?) edition. Is that quote from the newest edition? If so how new is it? The link above refers to a PHTLS committee from 2011 that says there is little evidence of benefit in the setting of neuro deficits. So I'm not sure if PHTLS is still recommending it or not.

That is actually copied directly from our protocols but it is based off PHTLSs most recent edition

 

[LearningByMistakes]

Bullets, sorry to inform you BUT that is NOT what the MOST recent edition says. See below.

PHTLS 7th Edition
Page 256

Numerous studies have shown that unstable spinal injuries rarely occur from penetrating trauma to the head, neck, or torso and that penetrating injuries are not indications for spinal immobilization. (The book has not in bold lettering).