Canadian C-Spine Rule: Difference between revisions
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It is not applicable in non-trauma cases, if the patient has unstable vital signs, acute paralysis, known vertebral disease or previous history of Cervical Spine surgery and age <16 years. | It is not applicable in non-trauma cases, if the patient has unstable vital signs, acute paralysis, known vertebral disease or previous history of Cervical Spine surgery and age <16 years. | ||
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== The Rule == | == The Rule == |
Revision as of 20:31, 24 September 2011
Original Editor - Josh McCormack
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Purpose
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The Canadian C-Spine Rule (CCR) is a decision making tool used to determine when radiography should be utilized in patients following trauma.
Population[edit | edit source]
The Canadian C-Spine Rule is applicable to patients who are in an alert (Glasgow Coma Scale score of 15) and stable condition following trauma .
It is not applicable in non-trauma cases, if the patient has unstable vital signs, acute paralysis, known vertebral disease or previous history of Cervical Spine surgery and age <16 years.
The Rule[edit | edit source]
File:CCR.jpg[edit | edit source]
Important Definitions [edit | edit source]
Dangerous mechanism: fall from 3 feet or 5 stairs, an axial load to the head, high speed MVA (>100km/h; 62/mph) or with rollover or ejection, a collision involving a motorized recreational vehicle, a collision involving a bicycle
A simple rear end collision exludes: being pushed into oncoming traffic, being hit by a bus or large truck, a rolloever, and being hit by a high speed vehicle
Usefullness[edit | edit source]
Sn= 99.4 Sp=45.1 [1]
Evidence
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Resources[edit | edit source]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Stiell IG et al. The Candian C-Spine Rule versus the NEXUS Low-Risk Criteria in patients with trauma. N Engl J Med 2003;349:2510-8.