|
|
| (3 intermediate revisions by 2 users not shown) |
| Line 1: |
Line 1: |
| ==Background==
| | #REDIRECT[[Cervical spine clearance]] |
| *C-Spine management unclear in the obtunded adult patient with blunt trauma after negative CT C-spine.
| |
| **EAST- Eastern Association for the Surgery of Trauma- performed systematic review in 2015. <ref>Patel MB, et al. Cervical spine collar clearance in the obtunded adult blunt trauma patient: a systematic review and practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015 Feb;78(2):430-41</ref>
| |
| ***Review included 1800 obtunded patients generally defined as GCS<13 with negative CT c-spine using <3mm axial cuts.
| |
| ***Of 1800 patients, 176 patients with abnormal MRI.
| |
| ***0/176 had unstable C-spine injury.
| |
| ***EAST guideline notes "we conditionally recommend cervical collar removal after a negative high-quality C-spine CT scan result alone" <ref>https://www.east.org/education/practice-management-guidelines/cervical-spine-collar-clearance-in-the-obtunded-adult-blunt-trauma-patient</ref>
| |
| | |
| ==See Also==
| |
| *[[Blunt neck trauma]]
| |
| *[[C-Spine X-Ray]]
| |
| *[[C-Spine (Canadian Rule)]]
| |
| *[[C-Spine (NEXUS)]]
| |
| | |
| ==References==
| |
| <references/>
| |