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Management Protocols for Spinal Injuries in Adult Patients: A Clinical Guideline : Management Recommendations for
Esmael Amirazodi1, Sharareh Jahangiri2, Farshid Seraji3
1Department of Neurology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Galen Medical Journal
|April 27, 2026
Summary
This study developed a clinical guide for spinal cord injury management in Iran. It integrates expert consensus and evidence to improve patient care in emergency settings.
Area of Science:
- Emergency Medicine
- Neurosurgery
- Clinical Guidelines
Background:
- Spinal cord injuries require specific management protocols.
- Existing guidelines may not fully address the needs of Iranian society.
Purpose of the Study:
- To develop and validate a culturally tailored clinical guide for spinal cord injury (SCI) management in Iran.
- To establish evidence-based recommendations for emergency department physicians.
Main Methods:
- An exploratory mixed-methods approach was used.
- Phases included a systematic review, qualitative study, guideline development, and Delphi method validation.
- Expert consensus was gathered from 27 specialists.
Main Results:
- 781 codes were identified in the initial qualitative phase.
- 23 clinical guidelines were reviewed.
- A final clinical guide was created, validated by experts.
Conclusions:
- A comprehensive clinical guide for spinal cord injury management in Iran has been developed.
- The guide covers pre-hospital care, immobilization, diagnostics, pain management, medications, and surgical interventions.
- This resource aims to enhance emergency care for SCI patients in Iran.
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