|Description:||This guideline replaces the Neck and Back Trauma guideline.- Immobilise the whole spine until it is positively cleared.- Immobilise the whole spine in all unconscious blunt trauma patients.- Falls are a frequent cause of SCI in the older person. Maintain a high index of suspicion in cases of older people who have had low energy falls.- If the cervical spine is immobilised, the thoracic and lumbar spine also needs immobilisation.- Asking a patient to self-extricate is acceptable, but is not clearing the cervical spine.- Standard immobilisation is by means of collar (unless contraindicated or counterproductive), head blocks, tape and scoop.- Longboard is solely used as an extrication device, and not for transporting patients to hospital.- Aspiration of vomit, pressure sores and raised intracranial pressure are major complications of immobilisation.- Red flag signs and symptoms of the medical emergency Cauda Equina Syndrome (CES) are covered.- A new immobilisation algorithm is presented.|
|Date Update Posted Online:||September 7, 2017|
|Section Title:||Spinal Injury and Spinal Cord Injury|
|Guidelines Print Date:||September 20, 2017|
The ambulance response to the COVID-19 pandemic: what went well and how do we sustain the benefits?
Ambulance services, at the forefront of caring for patients within the pandemic setting, had...
NHSE&I and AACE launch Repository of Good Practice for Safely Reducing Ambulance Conveyance to Emergency Departments
Examples of initiatives that are working well and are being monitored, evaluated and shared...