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The need to exclude cervical spine injury ('clearance') in an obtunded patient poses a dilemma. The purpose of this study was to find out the current practices for tackling this situation around the country. A questionnaire was sent to all Intensive Care Units who accept injured patients. There is a great diversity in the management and investigation of these patients. There is clearly a need for a recognised protocol for dealing with this difficult situation. Such a protocol is suggested.


Journal article



Publication Date





493 - 497


Cervical Vertebrae, Clinical Protocols, Critical Care, Humans, Medical Staff, Hospital, Radiography, Surveys and Questionnaires, Unconsciousness, United Kingdom