![]() ![]() Fall >3 metres (or twice the patient’s height).Passenger in an MVC of >60 km/hr, head on collision, rollover, or any accident with a passenger death.Improper restraint in a motor vehicle collision (MVC).Ejection from a vehicle including motorbike.Forced neck hyperflexion (includes low velocity mechanism with high force eg rugby scrum collapse).Axial load to the head (diving, trampoline, falling from height).Thoracic elevation device and in a teenager head elevation device may be used Assessment History In a child under 8 years old this may be achieved by a Ideally the spine should be kept in a neutral position with the child lying flat. The aim is to minimise movement of the potentially injured spine. identify the cases where expert spinal services are required.clear the cervical spine in children who have sustained blunt trauma.This guideline is designed to assist and empower the clinician to: A validated clinical decision rule for the paediatric population does not exist.Avoid unnecessary immobilisation and imaging where possible Cervical spine assessment and the detection of CSI is difficult.This guideline is for cervical spine assessment only Hard collars have no proven patient benefit and are potentially harmful Foam collars are recommended (if the child will tolerate one) until CSI can be excluded.A senior clinician must assist in the assessment of children with persistent symptoms or who are unable to communicate Most cervical spines can be cleared clinically.Allowing excessive movement of an unstable CSI may lead to severe morbidity.Cervical spine injury (CSI) is uncommon in children.See also Trauma - the primary survey Head injury Thoracic elevation device Key Points ![]()
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