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The following is based on the NEXUS (National Emergency X-Radiography Utilization Study) criteria. [3] Excluding a cervical spinal injury requires clinical judgement and training. Under the NEXUS guidelines, when an acute blunt force injury is present, a cervical spine is deemed to not need radiological imaging if all the following criteria are ...
Spinal precautions including a cervical collar and rigid board have been shown to delay time to intubation, increase risk of aspiration, raise intracranial pressure and cause pain, agitation, and pressure ulcers. [4] [12] [7] A systematic review found cervical collar related skin ulcers from the devices in 7 to 38%. [16]
Another use of the cervical collar is for strains, sprains, or whiplash. [4] [5] If pain is persistent, the collar might be required to remain attached to help in the healing process. [5] [7] A person may also need a cervical collar, or may require a halo fixation device to support the neck during recovery after surgery such as cervical spinal ...
Most of these airway maneuvers are associated with some movement of the cervical spine. Even though cervical collars can cause problems maintaining an airway and maintaining a blood pressure, [15] it is not recommended to remove the collar without adequate personnel to manually hold the head in place. [16]
A rigid cervical collar is applied to the neck, and the head is held with blocks on either side and the person is strapped to a backboard. [95] Extrication devices are used to move people without excessively moving the spine [98] if they are still inside a vehicle or other confined space. The use of a cervical collar has been shown to increase ...
Otherwise a rigid cervical collar or surgery to immobilize the neck for three months is recommended. [2] If the MRI is abnormal surgery to hold the neck still may be carried out [2] Typically people should avoid further high risk activities for the next six months. [3] The use of corticosteroids is not generally recommended. [2] The condition ...
The jaw-thrust maneuver is an effective airway technique, particularly in patients in whom cervical spine injury is a concern. The jaw thrust is a technique used on patients with a suspected or possible cervical spinal cord injury and is used on a supine patient. The practitioner uses their index and middle fingers to physically pull the ...
a cervical collar with occipital padding as needed; side head supports, such as a rolled blanket or head blocks (head immobilizer) made specifically for this purpose, used to avoid the lateral rotation of the head; straps to secure the patient to the long spine board, and tape to secure the head
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