Canadian C-spine rule

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Procedure

  • high-risk factor that mandates imaging
  • age >= 65 years or dangerous mechanism*
  • paresthesias in extremities
  • midline cervival spine tenterness *Dangerous mechanism:

* fall from >= 3 feet or 5 stairs

* axial load to head, i.e. diving

* motor vehicle accident: high speed (> 100 km/hr), rollover or ejection

* motorized recreational vehicle accident

* bicycle crash

* pushed into oncoming traffic

* hit by bus or large truck

* hit by high speed vehicle

* Exclusions of dangerous mechanism

* simple rear-end motor vehicle accident

* delayed onset of neck pain

* ambulatory or sitting

* actively rotates neck 45 degrees to right & to left

More general terms

Additional terms

References

  1. MD+CALC: Canadian C-Spine Rule http://www.mdcalc.com/canadian-c-spine-rule/
  2. Stiell IG et al The Canadian C-Spine Rule versus the NEXUS Low-Risk Criteria in Patients with Trauma. N Engl J Med 2003; 349:2510-2518 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/14695411 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMoa031375