Cervical collar and immobilizer

Cervical collar and immobilizer

1. Cervi cal collar and immobilizer Dr yap zhi zhong

2. Cervical collar Also known as neck brace or C collar

3. Indication for spinal immobilization Significant mechanism of inury associated with high risk for spinal injury Neck pain,tenderness,swelling,decormity of the spinw AMS,neurological defecit,LOC,Intoxication,distracting injury,communication barrier

4. Spinal immolization equipment Rigid cervical collar Long backboard,and straps Tape and foam block padding

5. Cervical collar Do no achieve immobilization,limit movement only Remind the patient and medical personnel not to move the head and neck Head and torso must also immobilize to prevent flextion,extension,rotation and lateral movement

6. Long spine backboard Acts as a splint for the entire vertebral column Modifications may need to be made with special populations

7. Fetus can compress aorto >hpotension Tilt board 45 degrees on left side

8. Vomiting & aspiration Always a risk with spinal immobilization Have suction available Never tape chin

9. Cervical collar removal Neck pain with negative CT in the neurological intact patient 3 option,continue collar,remove collar after negative MRI(<72h),remove collar after negative and adequate flexion extension films

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