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I don’t question the research in this article1 but rather the improper positioning of the C-spine collar on the cover of the Aug. 10 issue of CMAJ. The collar protrudes too far anteriorly (under the chin) and doesn't sit properly on the trapezius. This placement may result in serious injury if the chin slips under the collar during transport or a patient lift. An unfortunate portrayal of C-spine to accompany a good article.