Cervical collars in patients requiring spinal immobilisation

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Effect of cervical collars on intracranial pressure in patients with head neurotrauma

Trauma patients are at high risk of cervical and associated injuries. The standard protocol includes immobilization of the cervical spine in a polytrauma as it will help to prevent spinal injuries in the prehospital settings. Hard cervical collar (or alternatives) is routinely used until the cervical spine clearance is obtained . In patients with traumatic brain injury avoiding any kind of mane...

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Why Do We Put Cervical Collars On Conscious Trauma Patients?

In this commentary we argue that fully alert, stable and co-operative trauma patients do not require the application of a semi-rigid cervical collar, even if they are suspected of underlying cervical spine fracture, unless their conscious level deteriorates or they find the short-term support of a cervical collar helpful. Despite the historical and cultural barriers that exist, the potential be...

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Neurological Prognosis of Acute Cervical Spinal Cord Injury Patients Requiring Catecholamine Administration

Study Design: Retrospective cohort study using aggregated data from our institute. Objective: To examine the effects of hypotension requiring catecholamine (dopamine and epinephrine) administration on neurologic recovery in acute cervical spinal cord injury (SCI). Summary of Background Data: Following spinal cord injury, traumatic blood loss and spinal shock can occur causing low blood pressure...

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Confirmation of suboptimal protocols in spinal immobilisation?

BACKGROUND Spinal immobilisation during extrication of patients in road traffic collisions is routinely used despite the lack of evidence for this practice. In a previous proof of concept study (n=1), we recorded up to four times more cervical spine movement during extrication using conventional techniques than self-controlled extrication. OBJECTIVE The objective of this study was to establis...

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ژورنال

عنوان ژورنال: Emergency Medicine Journal

سال: 2001

ISSN: 1472-0205,1472-0213

DOI: 10.1136/emj.18.4.275