Change from semi-rigid to soft collars for prehospital management of trauma patients: An observational study.
Biswadev MitraStephen BernardCassandra YankoffAbha SomeshCara StewartChristine KoolstraCarly S TalaricoZiad NehmeMark Christopher FitzgeraldPeter A CameronPublished in: Journal of the American College of Emergency Physicians open (2024)
Following a change from prehospital semi-rigid collars to soft collars, more patients were investigated with a CT scan and more frequent clearance of the cervical spine occurred in the ED. There were no differences in the rates of spinal cord injuries, pressure sores or hospital acquired pneumonia, but the study was underpowered to detect significant differences. The practice of soft collars for prehospital care of patients with suspected neck injury requires ongoing surveillance.
Keyphrases
- trauma patients
- cardiac arrest
- healthcare
- spinal cord
- end stage renal disease
- computed tomography
- emergency department
- emergency medical
- ejection fraction
- newly diagnosed
- chronic kidney disease
- palliative care
- public health
- prognostic factors
- primary care
- spinal cord injury
- peritoneal dialysis
- dual energy
- magnetic resonance
- patient reported outcomes
- contrast enhanced
- magnetic resonance imaging
- electronic health record
- community acquired pneumonia
- affordable care act
- extracorporeal membrane oxygenation