 |
 |
Point 1. Stop referring to these neck injuries as a whiplash. This daft term was coined by a man called Crowe in 1928, and has been derided ever since. It does not represent what happens to the neck at all. Point 2. There are three GOOD studies showing that a neck collar leads to a worse outcome than physio or self directed exercise. Mealy, Brannon and Fenelon (1986)Early mobilisation of acute whiplash injuries BMJ 1986;292:656-7 Mckinney Dornan & Ryan (1989)The role of physiotherapy in the management of acute neck sprains following RTAs Arch Emerg Med 1989;6:27-33 Gennis et al (1996)The effect of soft cervical collars on persistent neck pain in patients with whiplash injury. Acad Emerg Med 1996;3:568-73. There is the evidence. -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of Toby Fogg Sent: 09 September 2002 17:44 To: [log in to unmask] Subject: Re: Clearance of c-spines Do they not come back for another reason too? Namely to have something to be able to take something to their insurance company. I realise there are many good reasons why some of our patients are unable to work after sustaining a whiplash injury but - and please correct me if I'm wrong - I think some are just playing up to get a payout. I usually get suspicious when they say something like "My friend suggested I get it checked out" when I have watched them moving easily around the waiting room. Toby Fogg -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]]On Behalf Of Robbie Coull Sent: 7 September 2002 10:31 To: [log in to unmask] Subject: Re: Clearance of c-spines > More importantly the patients love them and >go away happy. And come back again next time because they think they 'need' a collar. That's paternalistic and it increases the medicalisation of minor problems (and therefore our workload) for no benefit. Robbie Coull email: [log in to unmask] website: http://www.coull.net =============^========================================================== ==== LOCUM123.COM allows practices and NHS trusts to send locum requests by sms and email. You can register to use the service online at https://www.locum123.com =============^========================================================== ====