Externally Peer Reviewed by Mosby Initial treatment. Must immobilize neck and restrain chest if want to immobilize cervical spine. Sand bags not a good idea because, if want to turn patient on backboard, may fall against neck causing further injury.
Neutral position differs in adults and children.
8 years of age may require elevation of shoulders and back to approximate a neutral position. Adults and older children may require padding under the head to approximate a neutral position. Does not have neck tenderness on exam. Has a normal mental status without loss of consciousness or use of drugs or alcohol on board. To clinically clear the C-spine, all the above conditions must be met.