How to Measure and Fit a Cervical Collar

Introduction

In this tutorial, we'll explore the process of sizing, measuring, and fitting a cervical collar to ensure proper immobilisation and support for patients with potential neck injuries.

Overview of the Collar

The cervical collar features various components crucial for proper fitting and function:

• Sizing Mark: A black line indicating the measurement reference point.
• Adjustment Mechanism: Blue dots and locking mechanisms for size adjustment.
• Velcro Fitting: Tabs and velcro for securing the collar in place.
• Oxygen Mask Attachment: Green circles with hooks for securing an oxygen mask.

Measurement Technique

Use the following steps to measure and fit the collar:

1. Positioning: Ensure the patient's head is in neutral alignment, with the jawline and shoulders as reference points.
2. Measurement: Use a level hand to measure the distance from the jawline to the shoulder, maintaining neutral head alignment.
3. Adjustment: Transfer the measurement to the collar, adjusting the size using the blue dots and locking mechanisms.
4. Fitting: Place the collar flat on the chest, ensuring the chin sits securely in the chin piece.
5. Securing: Tighten the collar using the velcro tabs, ensuring a snug fit without compromising patient comfort.

Fitting in Prone Position

When fitting the collar with the patient lying flat, adjust the measurement technique accordingly:

• Use a bent hand for measurement to accommodate the prone position.
• Follow the same steps for sizing, adjustment, fitting, and securing as in the upright position.

Conclusion

While this tutorial covers one type of cervical collar, it's essential to remember that other variations exist. Regular practice is key to mastering the fitting process, and always ensure proper C-spine immobilisation during collar application.