Cervical spine clearance: Difference between revisions
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===NEXUS=== | ===NEXUS=== | ||
The Nexus Low Risk Criteria | |||
*No posterior midline cervical spine tenderness | |||
*No evidence of intoxication | |||
*A normal level of alertness | |||
*No focal neurological deficits | |||
*No painful distracting injuries | |||
''C-spine imaging indicated unless pt meets all the above'' | |||
===Canadian C-spine=== | ===Canadian C-spine=== | ||
Revision as of 02:54, 3 September 2015
Background
- US and Canada with more than 13 million trauma pts per year at risk for C-spine injury
- Most blunt trauma patients will be placed in a cervical collar by EMS to protect the C-spine
- C-spine can be clinically cleared by trained personnel
Clinical Features
Decision Rules
NEXUS
The Nexus Low Risk Criteria
- No posterior midline cervical spine tenderness
- No evidence of intoxication
- A normal level of alertness
- No focal neurological deficits
- No painful distracting injuries
C-spine imaging indicated unless pt meets all the above