Cervical Spine Immobilisation

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 10 July 2017

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

C-spine immobilisation is a controversial topic because of a lack of high quality evidence from clinical trials. Historical approaches have been challenged, however NICE guidance continues to recommend 3-point immobilisation for all patients with suspected spinal injury despite considerable clinical equipoise.

In this episode we discuss the complexities of balancing the risks and harms when trying to provide a patient centred approach, rather than a “one-size fits all” model.

As always, there are a number of papers, guidelines and resources that you should have a look at (it’s not exhaustive, but a good place to start!)

Enjoy!

Rob

References & Further Reading

NICE Guidance

Major trauma

Spinal injury

Faculty of prehospital care consensus statements

Spinal immobilisation

Minimal patient handling

Cochrane reviews

Spinal Immobilisation for Trauma

Papers of interest

Cowley et al 2017

Dixon et al 2015

Benger & Blackham 2009

Podcasts

Transcript

Click on a timestamp to play from that location

0:00.0	Welcome to the recess room podcast.
0:03.9	Five, four, three, two, one, fire.
0:12.8	So hi, and welcome back to the recess room podcast.
0:16.5	I'm Simon Lang.
0:17.6	And I'm most definitely Rob Fenwick.
0:19.9	And today, Rob's all about you again.
0:23.1	Again. You're going to be talking through C-spine immobilisation.
0:27.0	Oh, I groan. You promised we wouldn't do this ever. It's the sort of topic that is just going to get people riled.
0:34.7	But okay, we're going to try and do it some justice, and we're going to try and talk
0:38.1	through it and do it in a sensible fashion and try and, yeah, it's just a bit controversial, to say
0:45.3	the least.
0:46.0	Oh, dear, if it's not, I'm going to be very disappointed now.
0:50.7	Well, it depends on who you ask, but yeah, it may well be controversial.
0:54.0	Okay, well, it's definitely a topic, actually, that there were a lot of podcasts and a lot of blogs about
0:59.0	one or two years ago, but there hasn't been a phenomenal amount, certainly that I've seen
1:03.6	in the last few months. So, yeah, it'll be a good time to go and recap and get familiar again
1:09.5	with the evidence base.
1:11.3	So let's crack on with the podcast.
1:14.8	Yeah, so as you've alluded to someone, I think that there has been a lot of controversy around
1:20.1	this topic.
1:20.9	And that controversy is really because there is no hardcore evidence.
1:25.3	There is no right or wrong answer in the evidence base,
	...

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