A recent study in Ireland showed that for haemodynamically stable patients, controlled self-extrication causes less movement of the cervical spine than extrications performed using traditional prehospital rescue equipment.
Which spinal immobilisation protocol makes the most sense? PHTLS? Domeier/NEXUS? Hankins? None?
So do collars really make a difference to neck mobility and JVP?
ITLS Editorial Board position paper, published May 2014
Download (PDF): http://www.fphc.co.uk/content/Portals/0/Documents/2013-12%20Spinal%20Consensus%20COMPLETE.pdf
Download: http://www.fphc.co.uk/content/Portals/0/Documents/2013-12%20Consensus%20Handling%20v8.pdf
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