C-Spine (EAST): Difference between revisions
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==Background== | ==Background== | ||
*C-Spine management unclear in the obtunded adult patient with blunt trauma after negative CT C-spine. | *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> | **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. | ***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. | ***Of 1800 patients, 176 patients with abnormal MRI. | ||
*0/176 had unstable C-spine injury. | ***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> | ***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== | ==See Also== | ||
*[[Blunt neck trauma]] | *[[Blunt neck trauma]] | ||
*[[C-Spine X-Ray]] | *[[C-Spine X-Ray]] | ||
*[[C-Spine (Canadian Rule)]] | |||
*[[C-Spine (NEXUS)]] | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 19:59, 17 August 2015
Background
- 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. [1]
- 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" [2]
- EAST- Eastern Association for the Surgery of Trauma- performed systematic review in 2015. [1]
See Also
References
- ↑ 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
- ↑ https://www.east.org/education/practice-management-guidelines/cervical-spine-collar-clearance-in-the-obtunded-adult-blunt-trauma-patient