Abstract:This is a systemic review of the published evidence regarding cervical spine management in unconscious trauma patients. We examine the literature in the following sections: use of plain radiography; use of flexion/extenson views; use of computed tomography; use of magnetic resonance imaging. We also review surveys of practice and current guidelines. In contrast to the conscious trauma patient there have been no large prospective multicentre studies to derive a clinical decision rule for the exclusion of cervi… Show more
“…Although there is a small risk that an isolated ligamentous injury will be overlooked by this strategy, such injuries are rare and very unlikely to require surgical intervention. 1 Findings of neurological assessment should be carefully documented. The use of standardized assessment charts with clearly laid out instructions on how to assess is advised where possible as it ensures consistency of examination.…”
Section: Clinical Evaluation and Initial Managementmentioning
“…Although there is a small risk that an isolated ligamentous injury will be overlooked by this strategy, such injuries are rare and very unlikely to require surgical intervention. 1 Findings of neurological assessment should be carefully documented. The use of standardized assessment charts with clearly laid out instructions on how to assess is advised where possible as it ensures consistency of examination.…”
Section: Clinical Evaluation and Initial Managementmentioning
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