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Kane Guthrie
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Kane Guthrie

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I like this article on cervical spine immobilisation, stating:

- Cervical spine injuries are mostly mechanically ‘stable’, meaning that significant force is needed to cause further damage to the spine
- Completely unstable injuries generally cause irrevocable injuries already during the ‘accident’ sequence
- The use of a cervical collar has not been proven to prevent further injury, while movement in de normal range of the cervical spine is not dangerous and cannot increase the injury
- Cervical collars are probably not a rational method of early spine care
- Transport on a low-friction device (spine board) should not be done, lateral immobilsation of the head and body do make rational sense and transport on high-friction vaccuum devices are adviced
- Preventing hypoxic injury to the tissues (stabilising blood pressure, normo-oxygenation, ...) is more important than immobilisation to prevent further damage
- During airway-management, in-line traction should not be applied

Will the cervical collar not be routinely applied in the future??

A re-conceptualisation of acute spinal care; Emerg Med J 2013;30:720–723
http://emj.bmj.com/content/30/9/720.abstract
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You have made all Anaesthetists dealing with cervical trauma very happy!!!!!!
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Kane Guthrie

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Another BIG week from the EMCC FOAM Blogging World
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Overdrive Pacing - OVERVIEW Overdrive pacing = pacing the heart at a higher rate than the native heart rateVT or VF can result -> always have DC cardioversion available INDICATIONS failure of drug therapyrecurrent arrhythmiacontraindication to cardioversion (digoxin toxicity)aid to differentiate VT from... on #LITFL
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Kane Guthrie

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Worth reading, great viewpoint by Dave Newman! 
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Sorry need to update my bioprofile on the site. I'm at https://twitter.com/kane_guthrie
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Have him in circles
316 people
Thomas Dolven's profile photo
Steven McGuire DO's profile photo
Noel Eatough's profile photo
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Emergency nurse with ultra keen interest in Toxicology, critical care in the ED and online education.
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