Canadian cervical spine rule: Difference between revisions
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==Background== | ==Background== | ||
*Only applies to GCS=15 and stable [[blunt neck trauma]] | *Only applies to [[Glasgow Coma Scale (GCS)|GCS]]=15 and stable [[blunt neck trauma]] | ||
*Not applicable for: | *Not applicable for: | ||
**Non-trauma, GCS <15, Hemodynamically unstable, Age <16, Acute paralysis, previous spinal disease or surgery | **Non-trauma, GCS <15, Hemodynamically unstable, Age <16, Acute paralysis, previous spinal disease or surgery | ||
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==Mnemonic== | ==Mnemonic== | ||
'''High Risk Rhyme''' | '''High Risk Rhyme''' | ||
Sixty five, | *Sixty five, | ||
Fast drive, | *Fast drive, | ||
Sense deprive | *Sense deprive | ||
(Image if alive) | *(Image if alive) | ||
'''Low Risk Rhyme''' | '''Low Risk Rhyme''' | ||
Slow wreck, | *Slow wreck, | ||
Slow neck, | *Slow neck, | ||
Sitting down, | *Sitting down, | ||
Walking around, | *Walking around, | ||
C-spine fine | *C-spine fine | ||
(Range the spine) | *(Range the spine) | ||
==See Also== | ==See Also== | ||
*[[EBQ:Canadian C-spine Rule Study]] | |||
*[[NEXUS cervical spine rule]] | *[[NEXUS cervical spine rule]] | ||
*[[EBQ:NEXUS]] | *[[EBQ:NEXUS]] | ||
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[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category: | [[Category:Neurology]] | ||
[[Category: | [[Category:Orthopedics]] | ||
[[Category: | [[Category:Radiology]] | ||
Latest revision as of 14:16, 1 May 2017
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]
Mnemonic
High Risk Rhyme
- Sixty five,
- Fast drive,
- Sense deprive
- (Image if alive)
Low Risk Rhyme
- Slow wreck,
- Slow neck,
- Sitting down,
- Walking around,
- C-spine fine
- (Range the spine)
See Also
- EBQ:Canadian C-spine Rule Study
- NEXUS cervical spine rule
- EBQ:NEXUS
- Blunt neck trauma
- Cervical spine clearance
- C-Spine X-Ray
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.