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The routine use of a cervical collar is not recommended. [2] [3] [6] Cervical collars are also used therapeutically to help realign the spinal cord and relieve pain, [7] although they are usually not worn for long periods of time. [8] Another use of the cervical collar is for strains, sprains, or whiplash.
[2] When only three team members are available and there is no scoop stretcher, the following procedure can be used: the vacuum mattress is put besides the casualty, on a protecting ground sheet, and partially depressed (three manual pumping) to make it more rigid and thinner. A sheet is put on the mattress, closer to the casualty;
a cervical collar with occipital padding as needed; side head supports, such as a rolled blanket or head blocks (head immobilizer) made specifically for this purpose, used to avoid the lateral rotation of the head; straps to secure the patient to the long spine board, and tape to secure the head
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Spinal precautions including a cervical collar and rigid board have been shown to delay time to intubation, increase risk of aspiration, raise intracranial pressure and cause pain, agitation, and pressure ulcers. [4] [12] [7] A systematic review found cervical collar related skin ulcers from the devices in 7 to 38%. [16]