Cervical spine injury

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In patients with suspected or proven cervical spine injury the above maneuvers may exaggerate any neurological insult. Therefore it is recommended that the cervical spine be protected by manual in-line axial stabilization, maintaining the head and neck in the neutral position ( Fig 2). Jaw thrust will probably be the optimal technique for improving the airway with the least likelihood of distracting the cervical spine.

Fig. 2 Manual in-line stabilization of the head and neck.

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