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From: <[log in to unmask]>
Subject: Re: Clearance of C spines
>
> The same examples are being used for arguments to support universal
> collering and to oppose this; the people who walk in with c spine
injuries.
> A more useful piece of evidence would be patients who attend with injuries
> and deteriorate as a result of moving or other treatment.
Precisely, I'm not convinced that immobilisation is strictly necessary in
many of these cases. If the original force that caused the fracture did not
result in a neurological injury, then leaving the patient sitting quietly in
your department is hardly going to lead to a catastrophic deterioration.
It's my belief that patients with cord injury sustain their maximal
neurological insult at the moment of injury, apart from those who undergo
later passive manipulation of the neck, for example during intubation.
Adrian Fogarty (preparing to be burned at the stake for heresy again).
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