Recommendations

Neurological Examination:

Standards : There is insufficient evidence to support neurological examination standards.

Guidelines: There is insufficient evidence to support neurological examination guidelines.

Options:

• It is suggested that all trauma patients with a cervical spinal column injury or with a mechanism of injury having the potential to cause cervical spinal injury should be immobilized at the scene and during transport using one of several available methods.
• .A combination of a rigid cervical collar and supportive blocks on a backboard with straps is very effective in limiting motion of the cervical spine and is recommended. The longstanding practice of attempted cervical spinal immobilization using sandbags and tape alone is not recommended.