Skip to content

Updates in cervical spine issues in trauma care 2013



Hi folks

A couple of useful articles on Twitter in last 24 hrs. Check em out. Good information on prehospital cervical spine care and issues on airway management



Thanks to @socalexmd ( Alex Sammel) and @STHJournalClub for those tweeted articles!

Also Mr EmCrit just posted a new podcast on his Practical Evidence blog on new ATLS guidelines on spinal cord injury.


2 Comments Post a comment
  1. Johann Hiesmair #

    Hi Minh,
    SCI from direct laryngoscopy is no legend. The fact that cases are not published does not mean they don’t happen. I know a tragic case of a 22 year old woman who was intubated by a prehospital emergency doctor without manual in-line stabilisation. She was fully conscious before the intubation without any signs of a SCI. She was the victim of a road traffic accident and the intubation was performed to get her pain from an assumed pelvic fracture under control. Trauma-CT then showed no pelvic fracture but a displaced odontoid fracture with severe damage to the myelon. The woman was tetraplegic and later died from further complications of this injury. I have no doubt that this woman was killed by direct laryngoscopy without manual in-line stabilisation.

    April 17, 2013
    • thanks Johann
      you should publish or encourage those involved to publish that case.
      I agree with you.
      the controversy is whether Manual neck immobilisation does prevent worsening or indeed any SCI in someone with cervical spine fracture and instability.
      the BJA editorial I cite still recommends MILS precautions during DL for cervical spine disease or injury.

      April 17, 2013

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s


Prehospital and retrieval medicine blog

EM Basic

Your Boot Camp Guide to Emergency Medicine

Ash Witt

Prehospital and retrieval medicine blog


Ramblings from a gasdoc with interests in #anaesthesia, #intensivecare, #echo, #PHEM and #FOAM

PulmCrit: Pulmonary Intensivist's Blog

Prehospital and retrieval medicine blog

Miss Chardy

Laughter in the Outback

The Collective

A Hive Mind for Prehospital and Retrieval Med

Bits & Bumps

Obstetrics and Gynaecology FOAM


Why FOAM it alone?

Prehospital and retrieval medicine blog


Or "How I'm Learning to Stop Worrying and Love Emergency Medicine"


A great site

Genevieve's anthology

Writings to amuse, teach, inspire and entertain.

JR Paramedic

Prehospital and retrieval medicine blog

Monash Anaesthesia

Prehospital and retrieval medicine blog


A topnotch site


Bringing the boring to emergency medicine


Navigating resuscitation

Doctor's bag

by Dr Edwin Kruys

EM nerd

Prehospital and retrieval medicine blog

The Chart Review

Prehospital and retrieval medicine blog

ETM Course

Emergency Trauma Management Course

The Doctor's Dilemma

Modern Medical Musings from Dr Marlene Pearce

Sim and Choppers

A blog combining medical education, simulation and helicopter retrieval medicine


Reflections of a Rural GP

Auckland HEMS

Unofficial site for prehospital care providers of the Auckland HEMS service

Rural Doctors Net

useful resources for rural clinicians


Searching for the big picture in intensive care

Nomadic GP

Adventures of a Rural Locum


Free Open Access Medical Education for Paramedics

Not just a GP

Why GP is the greatest job in the world

the short coat

Prehospital and retrieval medicine blog


Bringing the Boring to EM

When your shift turns to shit? Keep moving, keep caring!

KI Doc

Kangaroo Island doctor blogging about Rural Medicine in Australia


pulling apart cases from the ED...

Little Medic

Learning everything I can from everywhere I can. This is my little blog to keep track of new things medical, paramedical and pre-hospital from a student's perspective.


Prehospital Emergency Medicine


Just another site

Prehospital and retrieval medicine blog

Intensive Care Network

Prehospital and retrieval medicine blog

Broome Docs

Rural Generalist Doctors Education

Resus M.E!

Prehospital and retrieval medicine blog


Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

St Emlyns

Meducation in Virchester #FOAMed

Emergency medicine and critical care medical education blog

RFDS Australia - Queensland Section The STAR Program

Specialised Training in Aeromedical Retrieval


Get every new post delivered to your Inbox.

Join 9,755 other followers

%d bloggers like this: