Article Text

PDF
BET 3: IS CERVICAL SPINE PROTECTION ALWAYS NECESSARY FOLLOWING PENETRATING NECK INJURY?
  1. Carel Kruger, Senior Clinical Fellow,
  2. Fiona Lecky, Senior Lecturer in Emergency Medicine
  1. Salford Royal Hospital, Manchester, UK

    Statistics from Altmetric.com

    Report by: Carel Kruger, Senior Clinical Fellow

    Search checked by: Fiona Lecky, Senior Lecturer in Emergency Medicine

    Institution: Salford Royal Hospital, Manchester, UK

    A short-cut review was carried out to establish whether cervical spine protection is always necessary following penetrating neck injury. Six studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these studies are shown in table 3. The clinical bottom line is that in stab wounds to the neck (with or without neurological deficit), an unstable spinal injury is very unlikely and c-spine immobilisation is not needed; in gunshot wounds the value of c-spine immobilisation is limited; and in the rare event of penetrating injury with combined blunt force trauma, a collar or sandbag is advised if possible.

    View this table:
    Table 3

    Is cervical spine protection always necessary following penetrating neck …

    View Full Text

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.