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Dear Jennie, Greetings from Al-Ain the oasis city. Regarding your colleague’s search for literature on the clinical question, “What is the role of cervical spine radiology in near hanging?” he might find the following of some help. I used the clinical queries function in Pubmed @ http://www.ncbi.nlm.nih.gov/entrez/query/static/clinical.html to search for evidence on diagnosis with the following key words. hanging cervical spine x-ray. It resulted in the paper by Herr CH et al. Then I clicked on the related article function, which gave a series of articles on the same topic. Please find below some of the articles I found. Good luck to your colleague in his course on EBM @ Oxford. Herr CH et al. Sensitivity of prevertebral soft tissue measurements of C3 for detection of cervical spine fractures and dislocations. Am J Emerg Med 1998;16:346-9. DeBehnke DJ, Havel CJ. Utility of prevertebral soft tissue measurements in identifying patients with cervical spine fractures. Ann Emerg Med. 1994 Dec;24(6):1119-24. Matar LD, Doyle AJ. Prevertebral soft-tissue measurements in cervical spine injury. Australas Radiol. 1997 Aug;41(3):229-37 Miles KA, Finlay D. Is prevertebral soft tissue swelling a useful sign in injury of the cervical spine? Injury. 1988 May;19(3):177-9. Cheers & regards, Badri Dr.P.Badrinath M.D.,M.Phil.,(Epid) PhD(Cantab)DFPHM Clinical Assistant Professor and Epidemiologist, Department of Community Medicine, UAE University, PO Box 17666, Al Ain, United Arab Emirates. Tel: 00 971 3 7039 652 Fax: 00 971 3 7672022. http://myprofile.cos.com/badrishanthi "For an excellent review of the current medical literature, go to Journals Scan www.uaeu.ac.ae/jscan/ - BMJ 3rd June 2000,Reviews(Netlines) _________________________________________________________________ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp