Section 6 - TRAUMA 6.03 SELECTIVE SPINAL IMMOBILIZATION. Background: This parameter is intended to provide personnel with a guideline for the selective exclusion from spinal restriction on patients who have a low index of suspicion mechanism of injury for spinal injury combined with a thorough assessment that supports the exclusion. Spinal Immobilization November 12, 2013 Tammie Drapeau, EMT-P INHS Health Training Health Educator Transition from flexible cervical spine to thorax • T-12/L-1: Different flexibility between thoracic and DO NOT RELEASE manual control until the patient is fully secured in a spinal Techniques for cervical spinal motion restriction (previously called cervical spine precautions or immobilization) are reviewed here. The evaluation and management of cervical spine injuries and field care of children and skeletally immature adolescents with sport-related neck injuries are discussed separately. Pre-hospital Spinal Immobilisation: An Initial Consensus Statement D Connor, K Porter, M Bloch, I Greaves On behalf of the consensus group. See below for full details of group members and affiliations. Abstract This paper reviews the current evidence available on the practice of spinal immobilisation in the pre-hospital environment. Objectives To determine the effects of Spinal Mobilization with and without manual traction on pain and disability in patients with cervical Radiculopathy Study Design Randomized control trial We will review the management of injuries to the cervical spine and spinal cord, from the initial fracture to the chronic phase of the disease. the third to maintain manual in-line immobilization of the head and neck and the fourth to give intravenous drugs and assist. For non-urgent and Airway and Cervical Spine Injury. about 30% of trauma patients (depending on the study) require intubation <30 minutes of arrival in ED. airway management must take into account the risk of coexistent cervical spine injury, the mantra being "airway management with cervical spine stabilisation" protect the cervical spine before the patient arrives in the hospital. Many methods of achieving cervical spine immobilization have been described in the literature. Common strategies used include manual stabilization with the use of orthotic devices such as a hard cervical collar, head blocks, strapping and spinal boards. The suggested time Prehospital Use of Cervical Collars in Trauma Patients: A Critical Review. with an estimated 40% reduction in cervical spine immobilization (and subsequent radiological Effect of manual in-line stabilization of the cervical spine in adults on the rate of difficult orotracheal Spinal immobilisation involves the use of a number of devices and strategies to stabilise the spinal column after injury and thus prevent spinal cord damage. The practice is widely recommended and widely used in trauma patients with suspected spinal cord injury in the pre-hospital setting.