AI Article Synopsis
- Emergency medical technicians prioritize protecting the cervical spine with neck collars for trauma patients, but there's debate on whether this approach leads to over- or underprotection.
- The study analyzed lightweight motorcycle accident victims from 2008-2009, comparing outcomes for those who wore cervical collars and those who did not.
- Results showed no significant difference in cervical spine injury rates between the two groups, suggesting that the current protocol for using neck collars may need to be reassessed to prevent unnecessary complications.
Article Abstract
Background: Cervical collar brace protection of the cervical spine at the scene of the incident is the first priority for emergency medical technicians treating patients who have sustained trauma. However, there is still controversy between over- or underprotection. The objective of this study was to survey the cervical spine injury of lightweight motorcycle accident victims and further evaluate the neck collar protection policy.
Materials And Methods: We retrospectively reviewed patients who sustained lightweight motorcycle injuries, assumed to have been at a low velocity, with incidence of cervical spine damage, from a single medical center's trauma registration from 2008 to 2009. Patients were divided into 2 groups: those who were immobilized by cervical collar brace and those who were not.
Results: Of the 8633 motorcycle crash victims, 63 patients had cervical spine injury. The average of the injury severity score in these patients was 14.31 ± 8.25. There was no significant correlation of cervical spine injury between the patients who had had the neck collar applied and those who had not (χ(2), P = .896). The length of stay in intensive care unit was longer in the patients who had the neck collar applied, but the total hospital length of stay was not statistically different to the patients who did not have the neck collar applied.
Conclusion: The incidence of cervical spinal injuries in the urban area lightweight motorcyclists is very low. Prehospital protocol for application of a cervical collar brace to people who have sustained a lightweight motorcycle accident in the urban area should be revised to avoid unnecessary restraint and possible complications.
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| http://dx.doi.org/10.1016/j.ajem.2010.06.003 | DOI Listing |
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