Cx collar and GSW

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In addition to Micky's mention of the Barkana Y, Stein M, et al. article,
there was also a previous one: Arishita GI, Vayer JS, Bellamy RF. Cervical
spine immobilization of penetrating neck wounds in a hostile environment. J
Trauma 1989; 29: 332 - 337. and a subsequent one:Rhee P, Kuncir
EJ, Johnson L, Brown C, et al. Cervical spine injury is highly
dependent on the mechanism of injury following blunt and penetrating
assault. J Trauma 2006;
61: 1166-1170.

ICRC practice and teaching for years has been to understand the pathology
involved. The futility of a Cx collar for a GSW to the neck, or the mandible
or brain for that matter, is only too obvious whatever the status of
consciousness of the patient. This position is confirmed in our new War
Surgery book published earlier this year.


-- 
christos giannou
Monemvasia Lakonia
23070 Greece
tel & fax: (++30) 27320-61772
mob: (++30) 69 74 83 28 18

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