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Removal of Spine Boards Prior to X-Ray Clearance for Patients in the Emergency Department: Clinical Evidence and Guidelines

Last updated: April 15, 2011
Product Line: Rapid Response
Report Type: Summary of Abstracts
Result type: Report

Question

1. What is the clinical evidence regarding the removal of patients from hard spine boards prior to confirmation of cervical spine clearance via x-ray in emergency departments? 2. What are the evidence-based guidelines regarding the safety and improved patient comfort resulting from the removal of patients from hard spine boards prior to confirmation of cervical spine clearance via x-ray in emergency departments?

Key Message

Evidence suggests that patients may be removed from hard spine boards as soon as possible upon arrival at the emergency department; one guidelines states radiographic assessment is not required for the assessment of the cervical spine in asymptomatic patients after trauma.