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!
Faculty of prehospital care consensus statements
Cochrane reviews
Papers of interest
Podcasts