18. Change from semi-rigid to soft collars for prehospital management of trauma patients: An observational study
Average read time: 15 to 20 minutes
Short Summary of the Article:
The article, “Change from Semi-Rigid to Soft Collars for Prehospital Management of Trauma Patients: An Observational Study,” discusses the transition from using semi-rigid collars to soft collars for cervical spine management in prehospital trauma care. The study was conducted by Ambulance Victoria and focused on examining differences in clinical outcomes, including imaging practices and diagnoses of spinal cord injuries, pressure sores, and hospital-acquired pneumonia. Results showed that more patients were imaged with a CT scan, and cervical spine clearance in the emergency department was higher after the introduction of soft collars. However, there were no significant differences in the rates of spinal cord injuries, pressure sores, or hospital-acquired pneumonia.
Learning Outcomes
Upon completion of this activity, you should have an understanding of:
- The impact of soft collars on cervical spine management: Practitioners will understand that soft collars are associated with increased imaging but do not significantly affect outcomes like spinal cord injuries.
- Changes in cervical spine clearance practices: Learners will comprehend how soft collars led to more frequent cervical spine clearance in emergency departments.
- The safety of transitioning to soft collars: The study supports that switching to soft collars does not increase the risk of adverse outcomes such as pressure sores or spinal cord injuries.
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Earned Point(s): 0 of 0, (0) What was the primary goal of changing from semi-rigid to soft collars in prehospital trauma care? pg 1 What percentage of patients had a CT scan of the cervical spine during the soft collar period? pg 2 Which of the following complications was found to be insignificant between the soft and semi-rigid collar periods? pg 3 True or False: The use of soft collars led to a significant increase in hospital-acquired pneumonia rates. pg 2 True or False: The clearance of the cervical spine in the emergency department was significantly higher in the soft collar period. pg 2 Which of the following was one reason for changing from semi-rigid collars to soft collars in prehospital care? pg 1 What was the odds ratio (OR) for patients being discharged with a collar after the introduction of soft collars? pg 3 Which of the following is a limitation of the study discussed in the article? pg 3 True or False: The use of soft collars has been associated with increased neck movement compared to semi-rigid collars. pg 5 What percentage of patients in the semi-rigid collar period had pressure sores diagnosed? pg 2 How did the use of semi-rigid collars potentially affect patients with traumatic brain injury? pg 1 Which of the following was the major complication associated with semi-rigid collars in the study? pg 5 What was the most common injury mechanism during the post-intervention (soft collar) period? pg 4 Which patient group was more commonly represented during the post-intervention period? pg 3 Which of the following changes was NOT observed after the introduction of soft collars? pg 3
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