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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. 1 Emergency Department, University Hospitals Coventry & Warwickshire NHS Trust, Coventry, UK
  2. 2 Department of Trauma, Queen Elizabeth Hospital Birmingham, Birmingham, UK
  3. 3 Emergency 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}

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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 …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.