The Use of Semi-Rigid Cervical Collars No Longer Recommended
- Written by Tony Head
- Category: Training & Development
- Created: 12 April 2016
In 2009 the Cochrane Review determined the following: The effect of spinal immobilisation on mortality, neurological injury, spinal stability and adverse effects in trauma patients remains uncertain.
Because airway obstruction is a major cause of preventable death in trauma patients, and spinal immobilisation, particularly of the cervical spine, can contribute to airway compromise, the possibility that immobilisation may increase mortality and morbidity cannot be excluded.
A 2015 Systematic review by International Liaison Committee on Resuscitation (ILCOR) into the use of cervical collars found there was no evidence that the use of collars decreased neurological injury. In fact the studies demonstrated actual or potential adverse effects such as intracranial pressure and airway compromise with the use of the cervical collars.
Please find below the latest updated information from RLSS Australia and the new procedures associated with extracting a suspected spinal injury victim from the pool. Which also includes the removal of the individual from the extraction/spinal board to ensure patient comfort.
RLSSWA will roll out the new training procedures in May and LIWA Aquatics will provide one set of Spinal Straps to all pools in Western Australia over the next six months leading into the 2016/17 season.