Template:C-spine Canadian: Difference between revisions
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===[[Canadian cervical spine rule|Canadian Cervical Spine Rule]]=== | <noinclude><languages/></noinclude> | ||
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===[[Special:MyLanguage/Canadian cervical spine rule|Canadian Cervical Spine Rule]]=== <!--T:1--> | |||
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[[File:Canadian cspine.png|thumb|Algorithm for evaluation of cervical spine injuries (Canadian C-spine Rule)]] | [[File:Canadian cspine.png|thumb|Algorithm for evaluation of cervical spine injuries (Canadian C-spine Rule)]] | ||
====No High Risk Factors==== | |||
====No High Risk Factors==== <!--T:3--> | |||
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*Age >65 | *Age >65 | ||
*Dangerous mechanism | *Dangerous mechanism (fall>3ft/5 stairs, high speed MVC (>60mph)/rollover/ejection, bicycle crash, RV, axial load injury) | ||
*Parasthesias in extremities | *Parasthesias in extremities | ||
====ANY Low Risk Factor==== | |||
====ANY Low Risk Factor==== <!--T:5--> | |||
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*Simple rear end MVC | *Simple rear end MVC | ||
*Delayed onset of pain | *Delayed onset of pain | ||
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*Ambulatory at any time | *Ambulatory at any time | ||
*Absence of midline C-spine tenderness | *Absence of midline C-spine tenderness | ||
====ROM==== | |||
====ROM==== <!--T:7--> | |||
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*Rotates neck 45 degrees to left and right | *Rotates neck 45 degrees to left and right | ||
'''C-spine can be cleared clinically if above criteria met'''<ref> 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]]</ref> <ref> 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. </ref> | <!--T:9--> | ||
'''C-spine can be cleared clinically if above criteria met'''<ref> 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|EBQ:Canadian C-spine Rule Study]]</ref> <ref> 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. </ref> | |||
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Latest revision as of 05:21, 26 January 2026
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.