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April 18, 2026Scandinavian Journal of Trauma Resuscitation and Emergency Medicine0 citationsOpen Access

Beyond the evidence: The cervical collar as cultural artefact

TNTim Nutbeam

Key Points

  • This research explores how cultural and historical factors influence attitudes towards cervical immobilisation practices.
  • Analyzed historical and cultural contexts surrounding cervical injury and treatment practices.
  • Investigated linguistic and cognitive aspects of fear related to cervical injuries.
  • Discussed implications for patient handling based on these factors.
  • Identified significant resistance to change in immobilisation practices despite evidence for gentle handling.
  • Highlighted the role of fear and cultural beliefs in shaping perceptions of cervical injury treatment.

Abstract

Resistance to reforming immobilisation practice is unlikely to yield to evidence translation alone. Effective change requires explicit engagement with the evolutionary, historical, linguistic, and cognitive determinants of cervical injury fear, alongside the evidential case for gentle patient handling.

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Cite This Study

Tim Nutbeam (2026) studied this question.

synapsesocial.com/papers/69e31f1a40886becb653ea08https://doi.org/10.1186/s13049-026-01600-w
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