Template:C-spine Canadian: Difference between revisions
| Line 3: | Line 3: | ||
====No High Risk Factors==== | ====No High Risk Factors==== | ||
*Age >65 | *Age >65 | ||
*Dangerous mechanism (fall>3ft, MVC>60mph, bicycle crash, RV, | *Dangerous mechanism (fall>3ft/5 stairs, high speed MVC (>60mph)/rollover/ejection, bicycle crash, RV, axial load injury) | ||
*Parasthesias in extremities | *Parasthesias in extremities | ||
Latest revision as of 21:40, 7 December 2019
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]
- ↑ 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.