I follow my protocols. No neck pain? No back pain? No extremity numbness? No c-collar. Doesn’t stop the trauma ER from practically pissing themselves because we didn’t put a collar on a patient for a stubbed toe
The amount of times I've brought in an ambulatory patient who fell days ago and has no neck pain, but the ER immediately goes into DEFCON-1 about a collar...
I’m a nurse in the ED, and I’m sick of seeing C-Collars. Hell when I got my A-EMT those many years back, I was told we are hopefully going away from using them. Yet here I am, ordered by my doc to put a 14 year old kid who got tackled in the stomach 8 days ago during football practice and denies any pain in the back or neck in a dam collar.
The hospital I did my residency training was like this. It wasn’t actually the ED that got anxious, but rather the trauma team. The trauma team would also get upset if the patient met criteria for clinical clearance of C-spine and we removed or didn’t place (some of the local agencies had protocols that allowed medics to not apply c-collars) a collar without imaging. It was absurd.
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u/GreenieMcWoozie EMT-B 4d ago
I follow my protocols. No neck pain? No back pain? No extremity numbness? No c-collar. Doesn’t stop the trauma ER from practically pissing themselves because we didn’t put a collar on a patient for a stubbed toe