Cervical Stabilization

[chmd]

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How do you do this? In training we always removed the cervical collar, but in practice everyone leaves it on and has nsg hold stabilization. My board review book suggests removing front of collar (maybe for cricoid pressure). What's the right way?

Also are you liberal w cricoid pressure on these patients or do you reserve it for those who were drinking a milkshake on the way to the ED?

 

[IlDestriero]

Front of collar off, neuro holding stabilization (if available), no cricoid pressure.

 

[Spinach Dip]

Retrograde wire.

[/thread]

 

[Noyac]

Front of collar off, neuro holding stabilization (if available), no cricoid pressure.

Agreed and if I'm real worried I use the Glidescope with the pt asleep.

Actually, now that I think about it, since I started using the Glidescope for bad cervical injuries I haven't removed the anterior portion of the collar.

 

[BuzzPhreed]

^ This. Glidescope. Awesome tool in this situation.