C-Spine (EAST): Difference between revisions
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Revision as of 19:05, 8 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]
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