Cx collar GSW neck

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With penetrating injury, there is zero incidence of bony instability in
the absence of neurologic signs.  I haven't even been able to find a
reliable anecdote.

The collar is not indicated, delays more appropriate objectives,
obscures the wound, and arguably jeopardizes the airway.

Ballistics -- as always, in my experience -- lends nothing meaningful to
the discussion.  You'll do fine in your clinical career if you never
again fret over caliber and muzzle velocity and pitch and yaw and tumble
and cavitation.  Treat the wound, not the weapon.

Pret Bjorn, RN
Bangor, ME USA 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Christos Giannou
Sent: Monday, August 24, 2009 5:31 AM
To: trauma-list at trauma.org
Subject: Cx collar GSW neck

QUOTE
Question if I understand what your saying  If the patient has a GSW to
the
neck do not use a c-collar. What if they were shot with a small
caliber\medium to high velocity gun in the neck and ricochet up and down
the
spinal column. Please explain for educational reasons
UNQUOTE

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