We have posted about this growing controversy of prehospital cervical spine neck collars previously since last year, when UK prehospital faculty published a consensus statement , highlighting lack of evidence for hard neck collars and raising concerns of harm being done. Since then Norwegian and Dutch ambulance protocols have shown signs of change to modify or even eliminate the use of hard neck collars in prehospital setting.
Via my PHARM network I had heard in my own state of Queensland, Australia, that one Brisbane hospital/ED had changed to using soft neck collars and remarkably that the QUeensland Ambulance Service was planning to remove all hard neck collars and replace with soft neck collars.
When the QAS SOP and EBM review are published online by QAS/Queensland Health I will post it up but its clear the decision has been made and rollout implementation will be soon underway. For now most QAS units still use hard neck collar as per current SOP but the soft neck collar SOP will be phased in, in near future.
To be honest, whilst seemingly radical decision, I support it fully!
Times are a changin!
Whats your opinion?