Template:C-spine Canadian

Canadian Cervical Spine Rule

Algorithm for evaluation of cervical spine injuries (Canadian C-spine Rule)

No High Risk Factors

• Age >65
• Dangerous mechanism
• 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