Questioning Spinal Stabilization

BY ROMMIE L. DUCKWORTH What would you do if you had a driver involved in a motor vehicle accident who had potentially injured his arm but yet hadn't actually injured his arm? Would you splint that arm anyway? If the arm were injured, would you think that the best way to splint it would be to straighten it out as much as you could and strap it to a flat piece of plastic? If you did and your patient told you that it hurt much more in the splint and in this position, would you tell him, "I know. I'm sorry, but that's just the way we do things around here"? Of course you wouldn't! Any discussion of current practices in spinal immobilization is challenging because it involves three s...

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