Is it possible to conduct a study to compare using and not using a rigid neck collar to immobilise the neck in adults who have potentially injured the spinal cord in their neck?

Not Applicable

• Conditions: se of a rigid collar in patients who have a potential cervical spinal cord injury following trauma; Injury, Occupational Diseases, Poisoning

• Registration Number: ISRCTN11400471
• Lead Sponsor: orth East Ambulance Service NHS Foundation Trust

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-02-04
• Last Update Posted: 13 September 2021
• Study Completion: 2021-09-30

Recruitment & Eligibility

• Status: Ongoing
• Sex: All
• Target Recruitment: 59

Inclusion Criteria

1. Aged 18 years and older
2. Transported by North East Ambulance Service crew to either participating Emergency Department
3. Any of the following conditions apply:
3.1. Participant has had a mechanism of injury and clinical assessment suggestive of SCI. Example mechanisms include (but are not exclusive to) road traffic collisions, falls from height and serious assaults. In the elderly or frail patient, this may include a fall from standing height and should be based on a thorough clinical exam
3.2. Participant has symptoms consistent with cervical spine injury. For older patients any neck pain, including muscular, should be considered as suspicious for cervical spine injury.
3.3. Participants with dementia/delirium who are unable to communicate reliably regarding potential injury and have significant head injury, as they are at risk of potential cervical spine injury and should be included in the study

Exclusion Criteria

1. Requires airway support for whatever reason
2. Glasgow Coma Score < 13 (reduced conscious level)
3. Displaying obvious signs of new neurological injury, such as paralysis
4. Significant facial injuries that may benefit from the support a rigid collar may provide
5. Already immobilised with a rigid collar by a non-study clinician or third party provider prior to intervention group clinician assessment

Study & Design

• Study Type: Interventional
• Study Design: Not specified