<!doctype html>
<html>
<head>
<meta name="viewport" content="width=device-width" />
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<title></title>
<style>
/* -------------------------------------
GLOBAL RESETS
------------------------------------- */
img {
border: none;
-ms-interpolation-mode: bicubic;
max-width: 100%; }
body {
font-family: sans-serif;
-webkit-font-smoothing: antialiased;
font-size: 14px;
line-height: 1.4;
margin: 0;
padding: 0;
-ms-text-size-adjust: 100%;
-webkit-text-size-adjust: 100%; }
table {
border-collapse: separate;
mso-table-lspace: 0pt;
mso-table-rspace: 0pt;
width: 100%; }
table td {
font-family: sans-serif;
font-size: 14px;
vertical-align: top; }
/* -------------------------------------
TYPOGRAPHY
------------------------------------- */
h1,
h2,
h3,
h4 {
color: #000000;
font-family: sans-serif;
font-weight: 400;
line-height: 1.4;
margin: 0;
margin-top: 15px;
margin-bottom: 5px;
}
h1 {
font-size: 35px;
font-weight: 300;
text-align: center;
text-transform: capitalize; }
p,
ul,
ol {
font-family: sans-serif;
font-size: 14px;
font-weight: normal;
margin: 0;
Margin-bottom: 15px; }
p li,
ul li,
ol li {
list-style-position: inside;
margin-left: 5px; }
a {
color: #3498db;
text-decoration: underline; }
/* -------------------------------------
BUTTONS
------------------------------------- */
.btn {
box-sizing: border-box;
width: 100%; }
.btn > tbody > tr > td {
padding-bottom: 15px; }
.btn table {
width: auto; }
.btn table td {
background-color: #ffffff;
border-radius: 5px;
text-align: center; }
.btn a {
background-color: #ffffff;
border: solid 1px #3498db;
border-radius: 5px;
box-sizing: border-box;
color: #3498db;
cursor: pointer;
display: inline-block;
font-size: 14px;
font-weight: bold;
margin: 0;
padding: 12px 25px;
text-decoration: none;
text-transform: capitalize; }
.btn-primary table td {
background-color: #3498db; }
.btn-primary a {
background-color: #3498db;
border-color: #3498db;
color: #ffffff; }
/* -------------------------------------
OTHER STYLES THAT MIGHT BE USEFUL
------------------------------------- */
.last {
margin-bottom: 0; }
.first {
margin-top: 0; }
.align-center {
text-align: center; }
.align-right {
text-align: right; }
.align-left {
text-align: left; }
.clear {
clear: both; }
.mt0 {
margin-top: 0; }
.mb0 {
margin-bottom: 0; }
.preheader {
color: transparent;
display: none;
height: 0;
max-height: 0;
max-width: 0;
opacity: 0;
overflow: hidden;
mso-hide: all;
visibility: hidden;
width: 0; }
.powered-by a {
text-decoration: none; }
hr {
border: 0;
border-bottom: 1px solid #f6f6f6;
Margin: 20px 0; }
</style>
</head>
<body class="">
<div class="pearl row-fluid">
<div class="pearl-meta">
<h2><strong>Title:</strong> <a href="https://umem.org/educational_pearls/4656/">Can you remove the anterior portion of a cervical collar to intubate?</a></h2>
<p><strong>Category:</strong> <a href="https://umem.org/educational_pearls/?category=6">Trauma</a></p>
<p><strong>Keywords:</strong> Immobilization cervical spine, intubation <a href="http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&term=Immobilization+cervical+spine+intubation+%22last+5+years%22[dp]&db=pubmed&pubmedfilters=true" target="_blank">(PubMed Search)<i class="icon-share" title="Opens in new window"></i></a> </p>
<p>
<strong>Posted:</strong> 11/21/2024 by <a href="https://umem.org/educational_pearls/?author=2561">Robert Flint, MD</a>
<br/>
<a href="https://umem.org/profiles/faculty/2561/">Click here to contact Robert Flint, MD</a>
</p>
</div>
<div class="pearl-body">
<p>The authors looked at 51 patients intubated with both anterior and posterior cervical collar in place and measured the degree of movement within the spine during intubation. They repeated this process in 51 additional patients with just the posterior portion of the collar in place. They found there was one degree of difference in movement between the two groups. This adds evidence that removing the anterior portion of the collar is safe when intubating trauma patients.</p>
<h3>References</h3>
<p>Jo, WY., Choi, JH., Kim, J. <em>et al.</em> Cervical spine motion during videolaryngoscopic intubation using a Macintosh-style blade with and without the anterior piece of a cervical collar: a randomized controlled trial. <em>Can J Anesth/J Can Anesth</em> (2024). <a href="https://doi.org/10.1007/s12630-024-02849-4">https://doi.org/10.1007/s12630-024-02849-4</a></p>
<h3>View this pearl on the University of Maryland, Department of Emergency Medicine's website: <a href="https://umem.org/educational_pearls/4656/">https://umem.org/educational_pearls/4656/</a></h3>
</div>
</div>
</body>
</html>