Question

A 45-year-old man presents to ED after a high-speed motor vehicle collision. He is alert, with neck pain but no neurological deficit. According to ATLS principles adapted in Australia, what is the most appropriate initial management of his cervical spine?

Accepted Answer

Maintain in-line immobilisation with a rigid cervical collar and blocks until cleared clinically and radiologically

Answer

Ask him to gently rotate his neck

Answer

Remove the cervical collar if X-rays are not immediately available

Answer

Place a soft collar for comfort only

Answer

Delay immobilisation until CT is arranged

Practice question

A 45-year-old man presents to ED after a high-speed motor vehicle collision. He is alert, with neck pain but no neurological deficit. According to ATLS principles adapted in Australia, what is the most appropriate initial management of his cervical spine?