Current methods of stabilizing a patient's neck after a suspected spinal injury do not provide adequate safety and comfort for the patient.

Standard practice is to immobilize all trauma patients with suspected cervical spinal column injury at the scene of accident, during transport and in the hospital until a spinal injury can be excluded [1]. This practice has been adopted worldwide, and in the UK applies to around 440,000 trauma patients annually, the equivalent figure for the US is around 5 million patients [2]. Immobilization procedures usually involve fitting a disposable semi-rigid cervical collar, known as a neck brace.

There are many well-documented complications and problems associated with collars. These include increased intracranial pressure as a result of restriction to the jugular vein [3], skin ulceration [4] and compromise of the airway [5]. Furthermore, studies...

References

References
1.
American College of Surgeons
,
2004
,
Advanced Trauma Life Support Program for Doctors
,
7th
ed.,
American College of Surgeons
,
Chicago, IL
.
2.
Frohna
,
W. J.
,
1999
, “
Emergency Department Evaluation and Treatment of the Neck and Cervical Spine Injuries
,”
Emerg. Med. Clin. North Am.
,
17
, pp.
739
791
.10.1016/S0733-8627(05)70097-3
3.
Ho
,
A. M.
,
Fung
,
K. Y.
,
Joynt
,
G. M.
,
Karmakar
,
M. K.
, and
Peng
,
Z.
,
2002
, “
Rigid Cervical Collar and Intracranial Pressure of Patients With Severe Head Injury
,”
J. Trauma: Inj., Infect., Crit. Care
,
53
(
6
), pp.
1185
1188
.10.1097/00005373-200212000-00028
4.
Webber-Jones
,
J. E.
,
Thomas
,
C. A.
, and
Bordeaux
,
R. E.
Jr.
,
2002
, “
The Management and Prevention of Rigid Cervical Collar Complications
,”
Orthopeadic Nursing
,
21
(
4
).
5.
find reference
6.
Holla
,
M.
,
2011
, “
Value of a Rigid Collar in Addition to Head Blocks: A Proof of Principle Study
,” EMJ Online, 10.1136/emj.2010.092973
7.
Podolsky
,
S.
,
Baraff
.
L. J.
, and
Sopm
,
R. R.
et al. .,
1983
, “
Efficiancy of Cervical Spine Immobilisation Methods
,”
J. Trauma: Inj., Infect., Crit. Care
,
23
, pp.
461
465
.10.1097/00005373-198306000-00003
You do not currently have access to this content.