目的调查分析天津市急救中心对院前创伤患者颈托使用的现状,为院前急救中预防性使用颈托提供依据。方法对院前创伤患者进行调查,分析颈托使用的现状,查找不合理使用的原因,提出合理使用的方案。结果院前创伤尤其是意识障碍患者和意识清楚伴头背部损伤患者并没有引起院前急救医生的足够重视,颈托使用率不容乐观。结论应加强急救医生院前创伤急救的培训,提高对院前创伤急救过程中保护颈椎的重视。 Objective To investigate and analyze the status quo of the use of cervical support by Tianjin Emergency Center for pretraumatic traumatic patients and provide the basis for the preventive use of cervical collar in first aid before hospitalization. Methods Investigate the pretraumatic trauma patients, analyze the status quo of neck brace use, find out the reason of unreasonable use and put forward the plan of rational use. Results Prehospital trauma, especially in patients with impaired consciousness and conscious patients with back injuries, did not pay enough attention to pre-hospital emergency doctors. The rate of cervical support was not optimistic. Conclusion It is necessary to strengthen the training of first-aid doctors in pre-hospital trauma and improve the protection of cervical spine in the emergency treatment of pre-hospital trauma.