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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 ...
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 ...
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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Minor fractures can be immobilized with a cervical collar without need for traction or surgery. A soft collar is fairly flexible and is the least limiting but can carry a high risk of further neck damage in patients with osteoporosis. It can be used for minor injuries or after healing has allowed the neck to become more stable.
Craniocervical instability (CCI) is a medical condition characterized by excessive movement of the vertebra at the atlanto-occipital joint and the atlanto-axial joint located between the skull and the top two vertebra, known as C1 and C2.