Standard Guide for Characteristics for Cervical Spine Immobilization Collar(s) (CSIC)

SIGNIFICANCE AND USE
The intent of this guide is to identify characteristics that a CSIC shall possess.
It is not expected that the CSIC will be used alone to provide the entire scope of required immobilization. Clinical situations may require differing combinations of devices for adequate total spinal immobilization. A CSIC may be one of the devices.
Various configurations or sizes, or both, may be required to accommodate variation amongst individuals.
The CSIC shall be able to be used by the practitioner in an ergonomically sound manner.
The CSIC is intended to provide stabilization, not traction, and shall not be used to apply traction.
SCOPE
1.1 This guide establishes minimum standards for devices, designated here as cervical spine immobilization collar(s) (CSIC), commonly referred to as cervical collars. The CSIC is used as the initial device for immobilization of the cervical spine, of a patient by emergency medical service personnel.
1.2 This guide does not identify specific degrees of limitation of motion achieved by placement of a CSIC on a patient. Definitive requirements for immobilization of the spine, and, in particular, the degree of limitation associated with the use of a CSIC, have not been established in the medical literature.
This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

General Information

Status
Historical
Publication Date
31-Jan-2007
Drafting Committee
Current Stage
Ref Project

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NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
Contact ASTM International (www.astm.org) for the latest information
Designation: F1559 − 94(Reapproved 2007)
Standard Guide for
Characteristics for Cervical Spine Immobilization Collar(s)
(CSIC)
This standard is issued under the fixed designation F1559; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
INTRODUCTION
The objective of this guide is to begin to address the recognized need to support and immobilize the
components of the spine or spinal cord. Although this guide does not quantitatively address
performance standards for this device, it does address the characteristics of the device(s) used to
provide support and immobilization of the components of the central nervous system for the patient
suspected of receiving trauma to that body system.
1. Scope 2.2 Centers for Disease Control Standard:
Guidelines for Prevention of Transmission of HIV and HBV
1.1 This guide establishes minimum standards for devices,
to Healthcare and Public Safety Workers
designated here as cervical spine immobilization collar(s)
2.3 OSHA Standard:
(CSIC), commonly referred to as cervical collars. The CSIC is
29 CFR 1910.1030 Occupational Exposure to Bloodborne
used as the initial device for immobilization of the cervical
Pathogens; Final Rule
spine, of a patient by emergency medical service personnel.
1.2 This guide does not identify specific degrees of limita-
3. Terminology
tion of motion achieved by placement of a CSIC on a patient.
3.1 Definitions:
Definitiverequirementsforimmobilizationofthespine,and,in
3.1.1 retention system—a retention system is an adjunct to
particular, the degree of limitation associated with the use of a
or an integral part of the primary platform that allows the
CSIC, have not been established in the medical literature.
patient to be securely attached to that platform used in
1.3 This standard does not purport to address all of the
whatever configuration and size necessary to accomplish the
safety concerns, if any, associated with its use. It is the
goal, while still allowing reasonable and necessary access to
responsibility of the user of this standard to establish appro-
the patient.
priate safety and health practices and determine the applica-
3.1.2 spinal immobilization—spinalimmobilizationshallre-
bility of regulatory limitations prior to use.
fer to immobilization of the spine and its contiguous structures,
the pelvis, and skull.
2. Referenced Documents
3.1.3 spine—the spine shall include the cervical, thoracic,
2.1 ASTM Standards:
lumbar, and sacral vertebrae.
F1177 Terminology Relating to Emergency Medical Ser-
vices
3.2 Definitions of Terms Specific to This Standard:
3.2.1 cervical spine immobilization collar—a device that
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
can be applied and secured to a patient to support and
Medical Services and is the direct responsibility of Subcommittee F30.01 on EMS
immobilize the cervical spine during immobilization and
Equipment.
transportation.
Current edition approved Feb. 1, 2007. Published February 2007. Originally
approved in 1994. Last previous edition approved in 2002 as F1559 – 94(2002).
DOI: 10.1520/F1559-94R07.
2 3
For referenced ASTM standards, visit the ASTM website, www.astm.org, or Available from Centers for Disease Control & Prevention (CDC), 1600 Clifton
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM Rd., Atlanta, GA 30333, http://www.cdc.gov.
Standards volume information, refer to the standard’s Document Summary page on Available from Superintendent of Documents, U.S. Government Printing
the ASTM website. Office, Washington, DC 20402.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
F1559 − 94 (Reapproved 2007)
3.2.2 directions of movement—directions include flexion, 5.7 Because during rapid extrication there may only be time
extension, rotation, distraction, lateral motion, and axi
...

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