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Log-rolling a blunt major trauma patient is inappropriate in the primary survey
  1. Caroline Leech1,
  2. Keith Porter2,
  3. Clare Bosanko3
  1. 1Emergency Department, University Hospitals Coventry & Warwickshire NHS Trust, Coventry, UK
  2. 2Department of Trauma, Queen Elizabeth Hospital Birmingham, Birmingham, UK
  3. 3Emergency Department, University Hospital North Staffordshire, Stoke, UK
  1. Correspondence to Dr Caroline Leech, University Hospitals Coventry & Warwickshire NHS Trust, Emergency Department, Clifford Bridge Road, Coventry, CV2 2DX, UK; caroline.leech{at}uhcw.nhs.uk

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The article by Gill et al1 provides further evidence that a log-roll is not useful for major trauma patients in the primary survey. Even with a GCS 15 and no influence from alcohol or opiates only 60% of patients with thoracolumbar fractures had tenderness on log-roll. The authors did not examine how many false negatives were found by examination or the impact of a distracting …

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