Canadian C-Spine Rule: Difference between revisions

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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;&nbsp;[[Image:CCR.jpg]] ==


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


&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;&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 ==


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Usefullness:  
== Usefullness: ==


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


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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 21:13, 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[edit | edit source]


The Rule:  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[edit | edit source]

                  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[edit | edit source]


Usefullness:[edit | edit source]

   Sn= 99.4 Sp=45.1[edit | edit source]


References:[edit | edit source]

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]

[edit | edit source]