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Emerg Med J 2009;26:539-540 doi:10.1136/emj.2008.063339
  • Emergency casebooks

Importance of the log roll

  1. D Shooman1,
  2. R Rushambuza2
  1. 1
    Emergency Department, Leeds General Infirmary, Leeds, Yorkshire, UK
  2. 2
    Department of Radiology, Calderdale and Huddersfield NHS Foundation Hospital, Yorkshire, UK
  1. Dr D Shooman, Emergency Department, Leeds General Infirmary, Leeds, Yorkshire LS1 3EX, UK; shooman{at}doctors.org.uk
  • Accepted 19 June 2008

Abstract

Immobilisation is a crucial part of the management of a trauma patient. This case describes the importance of stabilisation and early imaging in preventing long-term disability. The patient presented with no history or symptoms suggestive of spinal instability, but was under the influence of alcohol and had signs which were difficult to explain. After deterioration in his vital signs, he was found to have a rare and spectacular assembly of injuries which could have proved devastating had immobilisation been compromised. A comprehensive literature search was undertaken to establish the current consensus on the timing of mobilisation and imaging.

Footnotes

  • Competing interests: None.

  • Patient consent: Obtained.

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