Abstract
Objective: To describe the development of a spinal motion restriction protocol (SMR) for the Mobile Emergency Care Service of Belo Horizonte. Experience report: This is an experience report on the construction of a vertebral SMR protocol. A search in the literature for the best evidence on the subject was performed, followed by a critical analysis of the studies and the construction of a decision flowchart for indicating or not vertebral SMR. It was defined that vertebral SMR will be performed whenever the team attends trauma victims who present at least one of the following characteristics: instability in the primary assessment, age over 65 years, presence of back pain, deficit of consciousness, deficit sensory or motor, spinal deformity, distraction, significant trauma dynamics. Final considerations: The importance of building a clinical protocol to guide professionals to better care for trauma patients was evident, as well as the need to change paradigms regarding the management of these victims and, finally, reduce the time for their treatment definitive.