C-cpine collars are no longer recommended. This is likely to be the most controversial change. Manual inline stabilisation (MILS) is retained as the course still recommends concern about c-spine injury but the use of a c-spine collar has been removed. Blocks and tape are recommended for immobilisation after MILS. Collars deemed to be distressing and limited benefit. This will be music to the ears of many who have questioned the use of collars in recent years.
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