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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.
Hugh Owen Thomas was the great-grandson of a young boy who had been shipwrecked on Anglesey (Ynys Môn) between 1743 and 1745 with his brother. One of the young brothers died a few days later but the survivor was given the name Evan Thomas by the family that adopted and raised him, he established a family tradition of bone-setting.
[15] [16] [17] Cervical collars do not adequately protect the neck, [18] but they raise intracranial pressure, [19] [20] impede airway management [21] and cause pressure ulcers, [22] [23] [24] and their routine use is not advised in the developed world, [25] [26] and if used they should be loosened at the earliest opportunity. [27]
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]
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
Patients with cervical fractures will likely be prescribed medication for pain control. In the long term, physical therapy will be given to build strength in the muscles of the neck to increase stability and better protect the cervical spine. Collars, traction and surgery can be used to immobilize and stabilize the neck after a cervical fracture.