C Spine Immobilisation


C-spine immobilisation is a controversial topic because of a lack of high quality evidence from clinical trials. Historical approaches have been challenged, however NICE guidance continues to recommend 3-point immobilisation for all patients with suspected spinal injury despite considerable clinical equipoise.

In this episode we discuss the complexities of balancing the risks and harms when trying to provide a patient centred approach, rather than a “one-size fits all” model.
As always, there are a number of papers, guidelines and resources that you should have a look at (it’s not exhaustive, but a good place to start!)
Enjoy!

Rob

References & Further Reading
NICE Guidance
Faculty of prehospital care consensus statements
 
Cochrane reviews
 
Papers of interest
Podcasts

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