© 2001 the Emergency Medicine Journal
Best evidence topic report
Cervical collars in patients requiring spinal immobilisation
Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
Correspondence to:
Correspondence to: Kevin Mackway-Jones, Consultant (kevin.mackway-jones@man.ac.uk)
Report by John Butler, Specialist Registrar Search checked by , Damien Bates, Specialist Registrar
A paramedic crew brings a 27 year old patient with a suspected cervical spine injury to the emergency department after an RTA. At the scene of the accident the patient had full spinal immobilisation, which consisted of a long spinal board, a correctly sized cervical collar, and head blocks with straps to secure the head to the board. In the emergency department the patient is becoming increasingly distressed by the presence of the neck collar and requests that it is removed. You wonder whether the cervical collar provides any additional benefit in terms of immobilising the spine.
In [patients requiring full spinal immobilisation] is [the use of a cervical collar, long board and head blocks better than long board and head blocks alone] at [cervical spinal immobilisation]?
Medline 1966–03/01 using the OVID interface and hand searching relevant pre-hospital journals. {(exp spinal injuries OR spinal injury$.mp OR back injuries OR back
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