evaluation of pre-hospital emergency services, non-surgical interventions, and clinical outcomes in patients with traumatic spine

Background and aim: the aim of this study was to assess the pre-hospital emergency services, non-surgical interventions, and clinical outcomes in patients with traumatic spine referred to poursina hospital in guilan. methods and materials/patients: spine trauma registry of poursina hospital of rasht were used. records of patients with traumatic spine were reviewed for pre-hospital emergency services, nonsurgical interventions, and clinical outcomes during 2015 to 2019. results: 197 patients with traumatic spine were reviewed. 80.2% of the patients were transferred by ambulance. pre-hospital fixation was performed in 59.4% of the patients (n=117). pre-hospital intubation was required in 1% of patients (n=2). 4.6% of the patients had glasgow comma scale (gcs) <9; 3% of them (n=6) had 9< gcs<12; and 92.4% had gcs≥13. 11.7% of the patients experienced sci. 6.1%, 1%, 3%, 0.5%, and 1% of the patients suffered from paraplegia, paraparesis, quadriplegia, quadriparesis, hemiparesis respectively. surgery was performed in 89.8% of the patients. traction was performed for 3.6% of the patients. good recovery, moderate disabilities, severe disabilities, persistent vegetative state, and death were found in 85.8%, 2%, 5.1%, 1.5%, and 2.5% of the patients, respectively, according to glasgow outcome scale. conclusion: most of the patients were transferred to the hospital by ambulance. pre-hospital fixation was required in more than half of the patients. most of the patients showed gcs≥13 and a good recovery outcome, according to gcs.