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Kane Guthrie
358 followers -
Emergency nurse with ultra keen interest in Toxicology, critical care in the ED and online education.
Emergency nurse with ultra keen interest in Toxicology, critical care in the ED and online education.

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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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Worth reading, great viewpoint by Dave Newman! 

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Its out again for another week!

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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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