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A comparison of comfort assessment of NECKLITE vs. NeXsplint cervical collar. Pilot data

Published:April 02, 2018DOI:https://doi.org/10.1016/j.ajem.2018.03.078
      Spinal cord injury is a severe and life-threatening complication of trauma [
      • Piatt Jr., J.H.
      Pediatric spinal injury in the US: epidemiology and disparities.
      ]. Until recently, it was obligatory to secure a patient with a suspected cervical spine trauma by using the cervical collar and by placing the patient on a spinal board which is equipped with head stabilizers [
      • Johansson J.
      • Blomberg H.
      • Svennblad B.
      • Wernroth L.
      • Melhus H.
      • Byberg L.
      • et al.
      Prehospital trauma life support (PHTLS) training of ambulance caregivers and impact on survival of trauma victims.
      ,
      • Peck G.E.
      • Shipway D.J.H.
      • Tsang K.
      • Fertleman M.
      Cervical spine immobilisation in the elderly: a literature review.
      ,
      • Culhacı Ö.S.
      • Avşar G.
      Effect of head and neck immobilization on postspinal headache: a randomized controlled trial.
      ]. However, numerous studies indicate that immobilization of the cervical spine with a cervical collar may be associated with patient's discomfort due to the exacerbation of pain. Hauswald et al. [
      • Hauswald M.
      • Braude D.
      Spinal immobilization in trauma patients: is it really necessary?.
      ] indicated that the risk of neurological injury due to inadequate immobilization may be over-estimated.
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      References

        • Piatt Jr., J.H.
        Pediatric spinal injury in the US: epidemiology and disparities.
        J Neurosurg Pediatr. 2015; 16: 463-471https://doi.org/10.3171/2015.2.PEDS1515
        • Johansson J.
        • Blomberg H.
        • Svennblad B.
        • Wernroth L.
        • Melhus H.
        • Byberg L.
        • et al.
        Prehospital trauma life support (PHTLS) training of ambulance caregivers and impact on survival of trauma victims.
        Resuscitation. 2012; 83: 1259-1264https://doi.org/10.1016/j.resuscitation.2012.02.018
        • Peck G.E.
        • Shipway D.J.H.
        • Tsang K.
        • Fertleman M.
        Cervical spine immobilisation in the elderly: a literature review.
        Br J Neurosurg. 2018 Feb 28; : 1-5https://doi.org/10.1080/02688697.2018.1445828
        • Culhacı Ö.S.
        • Avşar G.
        Effect of head and neck immobilization on postspinal headache: a randomized controlled trial.
        J Perianesth Nurs. 2017; 32: 302-311https://doi.org/10.1016/j.jopan.2015.12.011
        • Hauswald M.
        • Braude D.
        Spinal immobilization in trauma patients: is it really necessary?.
        Curr Opin Crit Care. 2002; 8: 566-570