Cervical spine clearance: Difference between revisions
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==Decision Rules== | ==Decision Rules== | ||
===NEXUS=== | ===NEXUS===<ref> 27. Hoffman JR, et al. Low-risk criteria for cervical-spine radiography in blunt trauma: a prospective study. Ann Emerg Med 1992;21:1454-60. </ref> <ref>Mahadevan, et al. Interrater reliability of cervical spine injury criteria inpatients with blunt trauma. Ann Emerg Med1998;31:197-201 </ref> <br /> | ||
The Nexus Low Risk Criteria | The Nexus Low Risk Criteria | ||
*No posterior midline cervical spine tenderness | *No posterior midline cervical spine tenderness | ||
Revision as of 02:57, 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
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