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meh, in my mind, if I'm using the collar, I'm probably using the backboard- I just can't plausibly see a situation where c-spine is appropriate where we'd KNOW for the fact (without XR) that suspected trauma is confined above the T and L vertebra - and these things have an interesting way of NOT being symptomatic in the slightest at times.
Do they keep patients on backboards at the hospital? Even before radiology results? It's time we re-evaluate our practices. Not to mention multiple studies have proven that backboards do more harm than good.