Cervical spine guideline
The UK College of Emergency Medicine has produced guidelines on the management of cervical spine injury in the ED Since […]
All Updates, Guidelines, Resus, Trauma
spine
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Intubating spinal patients – the haemodynamics
Laryngoscopy and tracheal intubation transiently increase arterial pressure, heart rate (HR), and circulating catecholamines, in part attributed to reflex sympathetic […]
All Updates, PHARM, Trauma
Scoop minimises cervical movement
A cadaveric study using a 3-dimensional electromagnetic tracking device to asses cervical motion compared the application of a scoop stretcher […]
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Spine immobilisation in penetrating trauma
In a retrospective study of 45,284 penetrating trauma patients, unadjusted mortality was twice as high in the 4.3% of patients […]
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CT cervical spine in obtunded trauma patients
Prolonged collar use and spinal immobilisation in ICU patients can contribute to pressure sores, increased intracranial pressure, venous obstruction, difficulties […]
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Self-extrication with a collar on
Using a sophisticated infrared six camera motion capture system, investigators demonstrated decreased cervical spine movement when collared volunteers self-extricated from […]
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Ballistic penetrating neck injury and the risk of immobilisation
British military physicians reported the outcomes of patients sustaining penetrating neck injury from the Iraq and Afghanistan conflicts. Three quarters […]
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Is cervical spine protection always necessary following penetrating neck injury?
This short cut review in the Best Bets format attempted to answer the question: “is cervical spine protection always necessary […]
All Updates, PHARM, Trauma
Spinal imaging and immobilisation may be unnecessary in many GSW patients
A retrospective review of 4204 patients sustaining gunshot wounds (GSW) to the head, neck or torso examined the incidence of […]