A history of “hurt neck in road traffic accident” can mean anything from the injury being sustained in a minor rear end shunt to a major high speed and high risk impact. A history of “hurt neck in road traffic accident” can mean anything from the injury being sustained in a minor rear end shunt to a major high speed and high risk impact. Always try to gain a clear mental picture of the mechanics of the injury. C R FitzSimmons, and J Wardrope Emerg Med J 2005;22:68-76 Copyright © BMJ Publishing Group Ltd and the College of Emergency Medicine. All rights reserved.