The Spinal Immobilisation Study (SIS) with Prof Mark Wilson

In this episode, we speak with Professor Mark Wilson about the
forthcoming SIS trial. This randomised study aims to compare the
safety and patient outcomes of the current spinal immobilisation
practice versus a more flexible "movement minimisation" approach
for suspected spinal injury patients. The findings could inform
future clinical guidelines.





The main concepts of the trial include assessing if "movement
minimisation" is no worse than the current standard "triple
spinal immobilisation" for patients suspected of spinal injury in
pre-hospital and emergency settings. Current practice of triple
spinal immobilisation (rigid board, straps, neck collar) may have
potential harms like breathing difficulties, skin/brain injury.
Movement minimisation allows more flexibility and comfort, but
its safety/efficacy compared to triple immobilisation is unknown.
Around 8,316 patients will be randomly assigned to either
movement minimisation or triple immobilisation groups. Their
neurological function, complications, and long-term well-being
will be assessed. The study involved spinal injury and trauma
patient groups (ASPIRE, Imperial Trauma PPI) in design,
emphasising the need for research before guideline changes.





Results will be shared internationally with patients, the public,
paramedics, doctors, and nurses through conferences, social
media, reports, and publications to inform future NHS guidelines.
More information on the trial can be found here:
https://warwick.ac.uk/fac/sci/med/research/ctu/trials/sis/








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