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    Clinical Practice Procedures:: Trauma/Cervical Collar

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    Clinical Practice Procedures:: Trauma/Cervical Collar

    Uploaded by

    desytrilistyoati
    162 views3 pages

    Original Title

    CPP_Cervical collar

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    162 views3 pages

    Clinical Practice Procedures:: Trauma/Cervical Collar

    Uploaded by

    desytrilistyoati

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    © All Rights Reserved
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    Clinical Practice Procedures: Trauma/Cervical collar

    Policy code CPP_TR_CC_0416


    Date April, 2016
    Purpose To ensure a consistent procedural approach to the cervical collar.
    Scope Applies to Queensland Ambulance Service (QAS) clinical staff.
    Health care setting Pre-hospital assessment and treatment.
    Population Applies to all ages unless stated otherwise.
    Source of funding Internal – 100%
    Author Clinical Quality & Patient Safety Unit, QAS
    Review date April, 2019
    Information security UNCLASSIFIED – Queensland Government Information Security Classification Framework.
    URL https://ambulance.qld.gov.au/clinical.html

    While the QAS has attempted to contact all copyright owners, this has not always been possible. The QAS would welcome
    notification from any copyright holder who has been omitted or incorrectly acknowledged.
    All feedback and suggestions are welcome. Please forward to: Clinical.Guidelines@ambulance.qld.gov.au

    Disclaimer
    The Digital Clinical Practice Manual is expressly intended for use by QAS paramedics when performing duties and
    delivering ambulance services for, and on behalf of, the QAS.
    The QAS disclaims, to the maximum extent permitted by law, all responsibility and all liability (including without limitation,
    liability in negligence) for all expenses, losses, damages and costs incurred for any reason associated with the use of this
    manual, including the materials within or referred to throughout this document being in any way inaccurate, out of context,
    incomplete or unavailable.
    © State of Queensland (Queensland Ambulance Service) 2020.

    This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives V4.0


    International License

    You are free to copy and communicate the work in its current form for non-commercial purposes, as long as you attribute the State of
    Queensland, Queensland Ambulance Service and comply with the licence terms. If you alter the work, you may not share or distribute
    the modified work. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/deed.en
    For copyright permissions beyond the scope of this license please contact: Clinical.Guidelines@ambulance.qld.gov.au
    Cervical collar
    April, 2016

    A cervical collar is an orthopaedic device used to physically and consciously


    acknowledge the potential for c-spine injury. Although available devices may
    Indications

    U NC O NTR O L
    it completely.
    L H E N PR IN T ED
    limit movement within the c-spine, no device has been shown to immobilise 


    ED W
    There is a lack of evidence for the efficacy of spinal immobilisation in the
    • Suspicion of a cervical spine or SCI

    prevention of spinal cord injury (SCI).[1] There is evidence however that 
 Contraindications
    rigid collars can lead to significant complications and morbidity when used 

    to imobilise the c-spine.[2,3,4] These complications and difficulties with rigid • Surgical airway
    cervical collars include: • Penetrating neck trauma

    U N C O NTR O L L ED WH
    • patient discomfort
    • pressure areas
    E N PR IN T ED OAPLTM cervical soft collar
    Complications
    • increased intracranial 
 • Discomfort
    pressure • Anxiety
    • causing/worsening SCI 


    U N C O NT R O L L ED WH
    • impaired ventilation
    • aspiration risk
    E N PR IN T
    (e.g. in ankylosing spondylitis)

    ED
    • masking of neck/occipital injuries

    Soft cervical collars mitigate some of these issues.

    The OAPLTM cervical soft collar is a disposable single 


    U N C O NT R O L L ED WH E N PR IN T ED
    use device made from soft, open-cell foam plastic 

    with a cotton stockinette cover and touch tape closure.

    Figure 3.99
    QUEENSLAND AMBULANCE SERVICE 739
    Procedure – Cervical collar

    1. Gently align the patient’s head to a neutral anatomical position or position 



    of greatest comfort.

    2. Measure the distance 
 3. Select the appropriate 


    U NC O NTR O L L ED WH E N PR IN T
    between the base of the chin 

    and the suprasternal notch. ED size collar by comparing 

    the patient’s neck 

    measurement to the 

    width of soft collar’s

    chin support.

    U N C O NTR O L L ED WH E N PR IN T ED
    Additional information

    U N C O NT R O L L ED WH E N PR IN T ED • The c-collar is an integral component of the approach 



    to spinal care.

    • The ends of a correctly sized OAPL™ soft collar should 



    4. Slide the collar 

    meet or slightly overlap at the back of the patient’s neck.
    under the patient’s 

    neck (right to left) until • The QAS supplies OAPL™ soft collars in the following sizes:
    the adhesive Velcro
    Size Height Length

    U N C O NT R O L L ED W E N
    strap is clearly visible.

    H PR IN T ED Extra-small
    Medium
    65 mm
    90 mm
    480 mm
    480 mm
    Large 100 mm 535 mm

    QUEENSLAND AMBULANCE SERVICE 740

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