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The article by Gill et al 1 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 …
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.