T704
- Age >16, <65
- Mechanism of injury concerning for spinal injury
Immobilization is indicated only if any of the following are present:
- Altered mental status
- Suspicion of intoxication
- Distractions – either painful injuries or psychosocial distractions
- Midline spinal tenderness (careful palpation exam required)
- Focal neurological deficit (anything less than a full & symmetric motor and sensory exam in all limbs)
If patient has isolated midline cervical spine tenderness with none of the above indicators, it is appropriate to immobilize a cooperative patient using a rigid cervical collar and ambulance stretcher without a long spine board
If a patient has penetrating trauma to the head, neck, and/or torso, spinal immobilization only required if a neurologic deficit exists