Search Results for: cervical collar

ERC CERVICAL COLLAR SCEPTICS

The ERC, the European Resuscitation Council, have issued new guidelines for first aid, section 9 of their guidelines. And it includes an interesting and rather controversial take on cervical collars and spinal immobilisation that’s similar to what we have been … Continue reading

Posted in Emergency Medicine, Trauma | 2 Comments

CERVICAL COLLARS SLASHED FROM GUIDELINES

There’s been a big discussion on cervical collars in trauma the recent years. We’ve covered the controversy here. Guidelines are usually slow to adapt, but now both national guidelines from the Netherlands and state guidelines from Queensland in Australia seems … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 17 Comments

CERVICAL COLLAR R.I.P.

And so the rigid cervical collar is laid to rest in the Emergency Medical Service (EMS) of Bergen, Norway. Bergen is the second largest city in Norway, and has an active HEMS department at Bergen University Hospital. Particularly, HEMS doc … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 46 Comments

THE CURSE OF THE CERVICAL COLLAR

For many years, ATLS has dictated cervical collar as part of the A in ABC, and any patient that enters a trauma bay gets a cervical collar slapped on before anyone cares about airways, breathing and circulation. The last couple … Continue reading

Posted in Emergency Medicine, Prehospital Medicine, Trauma | 61 Comments

SPINAL STABILISATION, STATE OF THE ART? – TBS18

There’s been a lot of debate and controversy over spinal stabilisation in traume the last couple of years. Per Kristian Hyldmo is a HEMS anaesthetist, has done a PhD focusing on transportation of trauma patients including the lateral trauma position, … Continue reading

Posted in Emergency Medicine, Prehospital Medicine, TBS, TBS18, TheBigSick, Trauma | Leave a comment

NORWEGIAN GUIDELINES

The Norwegian guidelines for spinal immobilisation were recently published in SJTREM. (Open Access) Our involvement with the development of these started back in 2013 and 2014, when we published some posts that were highly critical of the dominating doctrine of extremely liberal … Continue reading

Posted in Prehospital Medicine, Trauma | 1 Comment

ATLS EVOLVING

We’ve often critisised ATLS. Part of it because many healthcare workers take the ATLS manual as divine law. And many of them don’t keep up with the changes in the new ATLS editions – so they cling to even older … Continue reading

Posted in Emergency Medicine, Trauma | 1 Comment

PROGRESS IN PREHOSPITAL SPINAL INJURY MANAGEMENT

We all knew or suspected there was something not right with the way we immobilise virtually all prehospital trauma patients for fear of causing spinal injury. Still, for  some dogma to finally change it has to be endorsed by the … Continue reading

Posted in Prehospital Medicine, Trauma, Uncategorized | 11 Comments

BEST OF 2013

Another year comes to an end. So here’s a selection of posts from 2013. Not sure if it’s the best of ScanCrit 2013, but these are some of the posts that’s gotten the most clicks and discussion, and some we … Continue reading

Posted in Anesthesia, Emergency Medicine, Intensive Care | Leave a comment

THE LATERAL TRAUMA POSITION

Transporting unconscious or obtunded victims supine can be dangerous as it may result in mechanical obstruction of the airway or fluid aspiration unless the airway is secured. Traditionally, EMS have used the recovery position with the victim lying on his/her side , … Continue reading

Posted in Prehospital Medicine, Trauma | 8 Comments