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It’s Time to do Away with the Hard Cervical Collar
Darren Braude, MD, Paramedic Professor of Emergency Medicine & EMS University of New Mexico @darrenbraude dbraude@salud.unm.edu
Not talking about this…
Assumption #1
Movement is Bad
F = ma
Assumption #2
Collar prevents said movement
Assumption #3
Benefits outweigh risks
Benefits?
Risks
Unlikely to help
Can clearly cause harm
So what to do?
Thanks Minh! @ketaminh Prehospitalmed.com
Awake and Alert
Patient is in charge
Uncooperative
Limit energy deposition by not restricting motion
Obtunded
Gentle movement, soft “reminder collar” or vacuum
mattress
Ideas in medicine that seemed great at the time…
MAST SUITINTRA-CARDIAC EPI
FLUIDS IN TRAUMA
SPINE BOARDS
BLOODLETTINGLOBOTOMIES
EGDT
HARD COLLARS
Thanks again Minh! @ketaminh Prehospitalmed.com
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