Canadian cervical spine rule: Difference between revisions
Neil.m.young (talk | contribs) No edit summary |
Neil.m.young (talk | contribs) No edit summary |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
Only applies to GCS=15 and stable [[blunt neck trauma]] | *Only applies to GCS=15 and stable [[blunt neck trauma]] | ||
*Not applicable for: | |||
**Non-trauma, GCS <15, Hemodynamically unstable, Age <16, Acute paralysis, previous spinal disease or surgery | |||
==Rule== | ==Rule== | ||
Revision as of 00:10, 4 September 2015
Background
- Only applies to GCS=15 and stable blunt neck trauma
- Not applicable for:
- Non-trauma, GCS <15, Hemodynamically unstable, Age <16, Acute paralysis, previous spinal disease or surgery
Rule
Canadian Cervical Spine Rule
No High Risk Factors
- Age >65
- Dangerous mechanism (fall>3ft/5 stairs, high speed MVC (>60mph)/rollover/ejection, bicycle crash, RV, axial load injury)
- Parasthesias in extremities
ANY Low Risk Factor
- Simple rear end MVC
- Delayed onset of pain
- Sitting position in ED
- Ambulatory at any time
- Absence of midline C-spine tenderness
ROM
- Rotates neck 45 degrees to left and right
C-spine can be cleared clinically if above criteria met[1] [2]
See Also
External Links
References
- ↑ Stiell IG,et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA. 2001 Oct 17;286(15):1841-8. EBQ:Canadian C-spine Rule Study
- ↑ Stiell IG, et al. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med. 2003;349(26):2510-8.