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
- healthcare
- spinal cord
- cardiac arrest
- end stage renal disease
- computed tomography
- newly diagnosed
- emergency department
- ejection fraction
- public health
- chronic kidney disease
- quality improvement
- primary care
- emergency medical
- palliative care
- spinal cord injury
- prognostic factors
- magnetic resonance imaging
- magnetic resonance
- peritoneal dialysis
- dual energy
- positron emission tomography
- image quality
- health insurance