Do Cervical Collars Increase Intercranial Pressure (ICP)
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Report By: Paul Jarvis - Paramedic
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Institution: Manchester Metropolitan University (MSc Emergency Medicine)
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Date Submitted: 12th July 2024
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Last Modified: 24th July 2024
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Status:
Blue (submitted but not checked)
Three Part Question
In [patients with traumatic brain injury (TBI)] Is [the application of a cervical collar compared to no collar significant] At [maintaining intra cranial pressure (ICP)]Clinical Scenario
You are on scene with a patient who has been assaulted via a blow to the head with an unknown object. The patient has a GCS 8 giving a preliminary diagnosis of serious traumatic brain injury. You also remain suspicious that they may also have a fracture cervical spine which is the case in 5% of patients with TBI. You wonder if the application of cervical collar will increase intracranial pressure (ICP)
Search Strategy
PubMed and Google Scholar (from2020) using search terms:
"Cervical collar" AND "ICP" - "Cervical collar" AND "Intracranial pressure" AND "traumatic brain injury"
Search Outcome
337 papers found, after critical appraisal 4 papers were relevant to the 3 part question and were subsequently used.