Question

A 40-year-old man presents after a high-speed motor vehicle collision with neck pain but is alert and haemodynamically stable. There are no neurological deficits. Cervical spine X-rays are normal. According to evidence-based trauma protocols, what is the most appropriate next step regarding cervical spine immobilisation?

Accepted Answer

Maintain immobilisation until a CT cervical spine excludes significant injury

Answer

Remove the cervical collar immediately based on normal X-rays and examination

Answer

Rely on clinical examination alone to clear the spine

Answer

Discharge patient without imaging if he can walk

Answer

Perform flexion-extension X-rays in the emergency department immediately

Practice question