1412 Cervical spine immobilisation in ambulatory patients

Aims, Objectives and Background Approximately 2500 people suffer a traumatic cervical spinal fracture per year in the UK, of which 10–14% have an associated cord injury. Emergency department practice was changed after Sundstrom et al (2014) found existing evidence for spine collars to be weak. From April 2015 new guideline implemented Royal Derby Hospital removing routine use certain groups. This allowed patients who self-presented ED met Canadian C-spine criteria radiographic imaging remain free from immobilisation devices undergo standing plain films or self-position CT imaging. Method Design A retrospective case note review carried out 2009 September 2021. Patients with confirmed diagnosis were identified those did not arrive by ambulance selected analysis. Their notes reviewed site, time since injury, neurological symptoms clinical management. Results Conclusion Cervical diagnosed 30 each on average over study period. Fifteen cent conveyed ambulance. Over 70% presented more than 4 hours their The most common site injury C6/7 (50%) followed C2 (30%). Those emergency subsequently suffered no adverse outcomes. Self-presentation