It has been widely acknowledged that evidence supporting the use of cervical collar has been lacking, and that its use was therefore based upon hypothetical benefit. However, modern evidence challenges the very principle of immobilisations on which the collar’s use was justified, and argues that the cervical collar is an ineffective immobilisation tool regardless. Cervical collars have always been thought to be a relatively harmless measure. Evidence suggests that the application of cervical collars can be harmful to patients. An assessment of today’s evidence justifies an immediate change of practice, and EMS providers across the world are adapting accordingly. Practice change in the UK is well overdue.

Leigh Rogers -