Canadian C-Spine Rule: Difference between revisions

(New page: = Candian C-Spine Rule = == Purpose: The Canadian C-Spine Rule (CCR) is a decision making tool used to determine when radiography should be utilized in patients following trauma. == Popu...)
 
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= Candian C-Spine Rule =
= Candian C-Spine Rule =


== Purpose: The Canadian C-Spine Rule (CCR) is a decision making tool used to determine when radiography should be utilized in patients following trauma. ==
== Purpose: The Canadian C-Spine Rule (CCR) is a decision making tool used to determine when radiography should be utilized in patients following trauma. ==


Population: The CCR is applicable to patients who are in an alert (Glasgow Coma Scale score of 15) and stable condition following  trauma
Population: The CCR is applicable to patients who are in an alert (Glasgow Coma Scale score of 15) and stable condition following  trauma  


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The Rule:&nbsp;&nbsp;[[Image:CCR.jpg]]


The Rule:&nbsp; [[Image:Ccr.jpg]]
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Important Definitions:&nbsp;


&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Dangerous mechanism: fall from 3 feet or 5 stairs, an axial load to the head, high speed MVA (&gt;100km/h; 62/mph) or with rollover or ejection, a collision involving a motorized recreational vehicle, a collision involving a bicycle


Important Definitions:&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 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


&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Dangerous mechanism: fall from 3 feet or 5 stairs, an axial load to the head, high speed MVA (&gt;100km/h; 62/mph) or with rollover or ejection, a collision involving a motorized recreational vehicle, a collision involving a bicycle
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&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 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:  
 
 
 
Usefullness:
 
&nbsp;&nbsp; Sn= 99.4 Sp=45.1


&nbsp;&nbsp; Sn= 99.4 Sp=45.1


<br>


References:  
References:  


Stiell IG et al. The Candian C-Spine Rule versus the NEXUS Low-Risk Criteria in patients with trauma.&nbsp;N Engl J Med 2003;349:2510-8.
Stiell IG et al. The Candian C-Spine Rule versus the NEXUS Low-Risk Criteria in patients with trauma.&nbsp;N Engl J Med 2003;349:2510-8.  


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Revision as of 20:59, 14 November 2009

Candian C-Spine Rule[edit | edit source]

Purpose: The Canadian C-Spine Rule (CCR) is a decision making tool used to determine when radiography should be utilized in patients following trauma.[edit | edit source]

Population: The CCR is applicable to patients who are in an alert (Glasgow Coma Scale score of 15) and stable condition following  trauma


The Rule:  File:CCR.jpg


Important Definitions: 

                 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:

   Sn= 99.4 Sp=45.1


References:

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.

[edit | edit source]

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