Improvised vs Standard Cervical Collar to Restrict Spine Movement in the Backcountry Environment.

Abstract:

INTRODUCTION:To compare the effectiveness of a molded fleece jacket with that of a standard cervical collar at limiting movement of the cervical spine in 3 different directions. METHODS:This is a prospective study using 24 healthy volunteers to measure cervical flexion/extension, rotation, and lateral flexion with both the fleece collar and the standard cervical collar. A hand-held goniometer was used for measurements. The results were then analyzed for the 3 independent movements using a noninferiority test. RESULTS:The fleece collar was determined to be noninferior at limiting the designated motions. Comfort was greater while wearing the improvised fleece collar. CONCLUSIONS:Our small study demonstrated that mountain travelers and rescuers may be able to use an improvised fleece jacket collar in place of a standard collar if spine trauma is suspected after a backcountry accident. Further research should examine different types of improvised collars, their ability to remain in place over extended evacuations, and when to apply collars to backcountry patients.

journal_name

Wilderness Environ Med

authors

Porter A,Difrancesca M,Slack S,Hudecek L,McIntosh SE

doi

10.1016/j.wem.2019.07.002

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

412-416

issue

4

eissn

1080-6032

issn

1545-1534

pii

S1080-6032(19)30152-8

journal_volume

30

pub_type

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