ArticlePloS one2015
Application of Cervical Collars - An Analysis of Practical Skills of Professional Emergency Medical Care Providers.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 47 citations in OpenAlex.
- Trial
- Effect of prehospital cervical spine immobilization on mortality and neurological outcome in trauma patients: an observational cohort study with propensity score matching based on the trauma registry of the German trauma society (TraumaRegister DGU®).World journal of emergency surgery : WJES · 2026Observational
- Validity and Internal Consistency of a Rubric for Cervical Collar Placement in Nursing Students.Nursing reports (Pavia, Italy) · 2026Article
- Improving operational preparedness for armored vehicle casualty rescue: effectiveness of simulation-based training with a novel extrication device.Frontiers in public health · 2026Article
- The Initial Assessment and Management of Cervical Spine Injuries: A Comprehensive Review.Cureus · 2025Review
- Analysis of spine motion during prehospital extrication procedures in motorsport.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Development and validation of assessment instruments for cervical collar and spinal board placement in simulated environments for nursing students in the care of polytrauma patients.BMC medical education · 2024Article
- Where Do We Stand on Cervical Spine Immobilisation? A Questionnaire among Prehospital Staff.Journal of clinical medicine · 2024Article
- Paramedic attitudes towards prehospital spinal care: a cross-sectional survey.BMC emergency medicine · 2022Article
- Removal of the cervical collar from alpine rescue protocols? A biomechanical non-inferiority trial in real-life mountain conditions.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- A multicenter cohort study on the association between prehospital immobilization and functional outcome of patients following spinal injury in Asia.Scientific reports · 2022Article
- A survey on the early management of spinal trauma in low and middle-income countries: From the scene of injury to the diagnostic phase (part II).Brain & spine · 2022Article
- Analysis of remaining motion using one innovative upper airway opening cervical collar and two traditional cervical collars.Scientific reports · 2021Article
- Multiple trauma management in mountain environments - a scoping review : Evidence based guidelines of the International Commission for Mountain Emergency Medicine (ICAR MedCom). Intended for physicians and other advanced life support personnel.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Article
- [Development and first application testing of a new protocol for preclinical spinal immobilization in children : Assessment of indications based on the E.M.S. IMMO Protocol Pediatric].Der Unfallchirurg · 2020Article
- Article
- Subjective safety and self-confidence in prehospital trauma care and learning progress after trauma-courses: part of the prospective longitudinal mixed-methods EPPTC-trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
- [Parameters influencing the preclinical application of cervical collars].Der Unfallchirurg · 2017Article
- Expertise of German paramedics concerning the prehospital treatment of patients with spinal trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectiveThe application of a cervical collar is a standard procedure in trauma patients in emergency medicine. It is often observed that cervical collars are applied incorrectly, resulting in reduced immobilization of the cervical spine. The objective of this study was to analyze the practical skills of trained professional rescue personnel concerning the application of cervical collars. MATERIAL AND
methodsWithin emergency medical conferences, n = 104 voluntary test subjects were asked to apply a cervical collar to a training doll, wherein each step that was performed received an evaluation. Furthermore, personal and occupational data of all study participants were collected using a questionnaire.
resultsThe test subjects included professional rescue personnel (80.8%) and emergency physicians (12.5%). The average occupational experience of all study participants in pre-clinical emergency care was 11.1±8.9 years. Most study participants had already attended a certified training on trauma care (61%) and felt "very confident" in handling a cervical collar (84%). 11% applied the cervical collar to the training doll without errors. The most common error consisted of incorrect adjustment of the size of the cervical collar (66%). No association was found between the correct application of the cervical collar and the occupational group of the test subjects (trained rescue personnel vs. emergency physicians) or the participation in certified trauma courses.
conclusionDespite pronounced subjective confidence regarding the application of cervical collars, this study allows the conclusion that there are general deficits in practical skills when cervical collars are applied. A critical assessment of the current training contents on the subject of trauma care must, therefore, be demanded.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.