Clearing the cervical spine of adult victims of trauma.

Clancy, Michael

doi:10.1136/emj.16.3.208

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Prolonged Pressure1

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Cited by 18 publications

(10 citation statements)

References 33 publications

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“…5,6 Collarrelated pressure ulcers are formed when unrelieved pressure on poorly oxygenated tissue results in tissue ischemia. 7 The most serious occipital ulcers are full thickness and are more likely to occur in patients who have the collar in situ Ͼ5 days.…”

mentioning

confidence: 99%

Factors Predicting Cervical Collar-Related Decubitus Ulceration in Major Trauma Patients

Ackland¹,

Cooper²,

Malham³

et al. 2007

Spine

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mentioning

confidence: 99%

Factors Predicting Cervical Collar-Related Decubitus Ulceration in Major Trauma Patients

Ackland¹,

Cooper²,

Malham³

et al. 2007

Spine

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“…8,9,16 Extrication collars, applied at the accident scene, are very rigid and intended to be used for 24 hours or less. In addition, there are times when the wear time of the collar needs to be extended until the patient is alert and is able to deny any neck tenderness.…”

Section: Prolonged Pressurementioning

confidence: 99%

Improving Practice

Jacobson¹,

Tescher²,

Miers³

et al. 2008

Journal of Nursing Care Quality

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Cervical collars are necessary to stabilize the cervical spine of trauma patients but are known to contribute to the development of occipital pressure ulcers. A quality improvement project that began on one nursing unit stimulated the development of evidence-based practice guidelines and a multidisciplinary research study. As a result, a standardized plan of care and cervical collar recommendations were implemented, resulting in a sharp decline in the incidence of occipital pressure ulcers.

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“…10 Although magnetic resonance imaging (MRI) has an established role for the investigation of suspected spinal cord injuries, the role of MRI in cervical spine clearance protocols for obtunded or comatose trauma patients is debated. MRI is superior to other radiologic techniques for the diagnosis of spinal cord injury, but whether MRI-diagnosed discoligamentous injuries influence clinical management is unknown.…”

mentioning

confidence: 99%