{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:40:08Z","timestamp":1756377608897,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,17]]},"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>We report the case of an initial misdiagnosis of significant scalp soft tissue hidden beneath a semirigid cervical collar. A 16-year-old unrestrained rear seat passenger was involved in an RTA sustaining a subdural haematoma, cervical spine fractures and what was initially diagnosed as a significant degloving scalp injury. The patient was admitted to the intensive care unit intubated sedated, and with a cervical collar. The scalp injury was dressed with a view that potential reconstructive surgery would be needed subsequently.<\/jats:p>\n               <jats:p>This case demonstrates that while cervical collars remain a fundamental aspect of initial prehospital care in trauma, they have potential drawbacks to their use, which need to be carefully noted. Some of these drawbacks have been reported extensively in the literature. This case outlines the necessity of a thorough secondary survey in the trauma patient as the cervical collar can obscure the assessment of significant head and neck soft tissue injuries.<\/jats:p>","DOI":"10.1136\/bcr-2018-228761","type":"journal-article","created":{"date-parts":[[2019,4,4]],"date-time":"2019-04-04T19:30:41Z","timestamp":1554406241000},"page":"e228761","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Semirigid cervical spine collar and risk of missing significant soft tissue injuries"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5988-3405","authenticated-orcid":false,"given":"Mohammed Hassan","family":"Hussain","sequence":"first","affiliation":[{"name":"Oral and Maxillofacial Surgery, Leeds General Infirmary, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Corsar","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Pinderfields Hospital, Wakefield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,4,4]]},"reference":[{"key":"2025082803255003000_12.4.e228761.1","unstructured":"American College of Surgeons Committee on Trauma. ATLS\u00ae Student Manual. 9th Edition. Chicago. IL: American College of Surgeons, 2012."},{"key":"2025082803255003000_12.4.e228761.2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2013.3094"},{"key":"2025082803255003000_12.4.e228761.3","doi-asserted-by":"crossref","unstructured":"Kwan I , Bunn F , Roberts I . Spinal immobilisation for trauma patients. Cochrane Database Syst Rev 2001:CD002803.doi:10.1002\/14651858.CD002803","DOI":"10.1002\/14651858.CD002803"},{"key":"2025082803255003000_12.4.e228761.4","doi-asserted-by":"publisher","DOI":"10.1097\/00075198-200212000-00014"},{"key":"2025082803255003000_12.4.e228761.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.06.191"},{"key":"2025082803255003000_12.4.e228761.6","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1016\/j.annemergmed.2015.07.510","article-title":"EMS management of patients with potential spinal injury","volume":"66","author":"American College of Emergency Physicians","year":"2015","journal-title":"Ann Emerg Med"},{"key":"2025082803255003000_12.4.e228761.7","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2013-203205"},{"key":"2025082803255003000_12.4.e228761.8","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2013-203207"},{"key":"2025082803255003000_12.4.e228761.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)80059-9"},{"key":"2025082803255003000_12.4.e228761.10","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.15.1841"},{"key":"2025082803255003000_12.4.e228761.11","first-page":"613","article-title":"Spinal cord injury and its association with blunt head trauma","volume":"4","author":"Paiva","year":"2011","journal-title":"Int J Gen Med"},{"key":"2025082803255003000_12.4.e228761.12","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/1757-7241-22-37","article-title":"Evaluation of clinical efficacy and safety of cervical trauma collars: differences in immobilization, effect on jugular venous pressure and patient comfort","volume":"22","author":"Karason","year":"2014","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"2025082803255003000_12.4.e228761.13","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1056\/NEJM200007133430203","article-title":"Validity of a Set of Clinical Criteria to Rule Out Injury to the Cervical Spine in Patients with Blunt Trauma","volume":"343","author":"Hoffman","year":"2000","journal-title":"N Engl J Med Overseas Ed"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228761","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:26:11Z","timestamp":1756376771000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228761"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":13,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,4,4]]},"published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1136\/bcr-2018-228761"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228761","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,4]]}}}