Template:Canadian CSpine Calculator: Difference between revisions
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Usage: <code><nowiki>{{Canadian CSpine Calculator}}</nowiki></code> | Usage: <code><nowiki>{{Canadian CSpine Calculator}}</nowiki></code> | ||
[[Category:Calculator templates]]</noinclude> | [[Category:Calculator templates]]</noinclude> | ||
=== Canadian C-Spine Rule === | |||
<div class="calculator-container" data-calculator-refresh-on-load="true"> | <div class="calculator-container" data-calculator-refresh-on-load="true"> | ||
{| class="wikitable" style="width:100%; border-collapse:collapse;" | {| class="wikitable" style="width:100%; border-collapse:collapse;" | ||
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| style="background:#27ae60; color:white; text-align:center; font-weight:bold;" | Low risk ≥1 + ROM OK | | style="background:#27ae60; color:white; text-align:center; font-weight:bold;" | Low risk ≥1 + ROM OK | ||
| '''C-spine can be cleared''' — At least one low-risk factor AND able to rotate neck 45°. No imaging needed. | | '''[[Cervical spine injury|C-spine]] can be cleared''' — At least one low-risk factor AND able to rotate neck 45°. No imaging needed. | ||
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| style="background:#f39c12; color:white; text-align:center; font-weight:bold;" | Low risk ≥1 + no ROM | | style="background:#f39c12; color:white; text-align:center; font-weight:bold;" | Low risk ≥1 + no ROM | ||
Latest revision as of 16:50, 21 March 2026
Interactive Canadian C-Spine Rule calculator. Requires the calculator gadget.
Usage: {{Canadian CSpine Calculator}}
Canadian C-Spine Rule
| Step 1: Any High-Risk Factor? (mandates radiography) | ||
|---|---|---|
| Criteria | No | Yes |
| Age ≥65 | 1 | |
| Dangerous mechanism (fall ≥1m/5 stairs, axial load to head, MVC >100km/h or rollover/ejection, motorized recreational vehicle, bicycle collision) | 1 | |
| Paresthesias in extremities | 1 | |
| Step 2: Any Low-Risk Factor? (allows safe ROM assessment) | ||
| Simple rear-end MVC (excludes: pushed into traffic, hit by bus/large truck, rollover, hit by high-speed vehicle) | 1 | |
| Sitting position in ED | 1 | |
| Ambulatory at any time since injury | 1 | |
| Delayed onset of neck pain (not immediate) | 1 | |
| Absence of midline cervical tenderness | 1 | |
| Step 3: Able to actively rotate neck 45° left and right? | ||
| Can rotate neck 45° L and R | 1 | |
| High Risk Factors | / 3 | |
| Low Risk Factors | / 5 | |
| Interpretation (stepwise) | |
|---|---|
| High risk ≥1 | Radiography indicated — Do NOT assess ROM. Image the c-spine. |
| Low risk = 0 | Cannot assess ROM safely — No low-risk factor present to allow safe assessment. Image. |
| Low risk ≥1 + ROM OK | C-spine can be cleared — At least one low-risk factor AND able to rotate neck 45°. No imaging needed. |
| Low risk ≥1 + no ROM | Radiography indicated — Low-risk factor present but unable to rotate. Image. |
| References |
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