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Removing the collar

DocRickFry at aol.com DocRickFry at aol.com
Mon Oct 10 10:54:57 BST 2005


 
In a message dated 10/10/2005 2:25:40 A.M. Eastern Daylight Time,  
bensonblues at comcast.net writes:

images  are available to be read immediately by the EP and surgeon on a flat
screen  monitor near the patient care area. If a problem is suspected, the
collar  remains on and a CT is obtained. If there is low probability of
unstable  injury, the collar is removed and the series is completed. The
collar is  replaced after the images are obtained and the patient is returned
to the  ED. The EP or surgeon them re-evaluates the patient and either clears
the  c-spine and removes the collar, or keeps the collar on and obtains a CT.
If  the patient is comatose, however, the collar remains on to keep the  neck
straight and facilitate venous drainage from the head.

The  point is that the collar can be removed if someone competent can  hold



two view c-spine xrays are NOT adequate for clearance--the minimum is three  
views if you still use x-ray imaging which we now know miss at least 30-50% of 
 injuries--why would you still use them, and then on top of that not use  
sufficient views?
ERF


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