realigning the spinal column

[Timothy J Coats (SURG) 7728]

Hi,

To all those that "always move to the neutral position". Remember 
that all patients do not have the same neutral position. Especially if 
there is previous spinal disease movement to a 'neutral position' 
may cause harm. (See Lesson of the week. BMJ about 6 months 
ago for an especially tragic case).

In medicine "always" and "never" should be words that are used 
with great care.

Tim.

Timothy J Coats MD FRCS FFAEM
Senior Lecturer in Accident and Emergency / Pre-Hospital Care
Royal London Hospital, UK.