What is the Canadian C Spine rule used for?
What is the Canadian C Spine rule used for?
The Canadian C-Spine Rules (CCR) is an assessment tool used to rule out cervical spine injury in low-risk patients, obviating the need for radiography.
When is C spine cleared?
The goal is to clear the C-spine within four hours. If there is a significant painful “distracting” injury, then the goal is to clear the C-spine in less than 12 hours. iii. If the CT shows abnormalities, then the orthopedic or neurosurgical spine service should be consulted prior to removing the collar.
Can you clear a cervical spine with imaging alone?
“We conditionally recommend cervical collar removal after negative high-quality c-spine CT scan results alone.” They went on to further clarify, “It should be acknowledged that cervical collar removal can result in neurological change and even paralysis, although this may be underreported in the literature.
How do you rule out C spine injury?
According to the NEXUScriteria, a patient undergoing trauma who meets all of the following criteria can have their c spine cleared clinically without imaging:
- No midline tenderness.
- No pain with neck movement.
- No distracting injury.
- No neuro deficit.
- No alcohol or drugs.
- No altered mental status.
When do you use C spine precautions?
If CT is normal and patient has no neurological deficit, and there is no ongoing cervical spine tenderness or pain, the C-spine should be cleared. Consider continuing cervical collar/precautions and obtaining MRI for those with neurologic deficit and/or ongoing midline cervical pain or tenderness.
What does CT C spine mean?
Definition. A computed tomography (CT) scan of the cervical spine makes cross-sectional pictures of the neck. It uses x-rays to create the images.
Can you sit up with C-spine precautions?
Cervical spine (c-spine) immobilization: The patient should be positioned supine in neutral alignment with no rotation or bending of the spinal column. The cervical spine should be further immobilized with use of a rigid cervical collar. 2.
When to use the Canadian C Spine Rule?
Why Use. The Canadian C-Spine Rule is a well-validated decision rule that can be used to safely rule out cervical spine injury (CSI) in alert, stable trauma patients without the need to obtain radiographic images. The Canadian C-spine Rule (CCR) was developed to help physicians determine which trauma patients need c-spine imaging.
When to use nexus for C spine clearance?
In adult blunt trauma patients with concern for C-spine injury, the NEXUS criteria is an effective clinical tool to screen for those that would require imaging out of concern for clinically significant C-spine injury (sens 99.6%, NPV 99.9%)
Are there any validated rules for radiography and clear C spines?
Persistent medico-legal fear continues to influence our practice. 2 validated rules exist that can help identify the need for radiography and clear C-Spines safely. CDRs usually include a mix of history, physical findings and tests. CDRs are useful where diagnostic uncertainty.
Who are the members of the C spine rule advisory group?
Canadian C-Spine Rule. C-Spine Rule Advisory Group (CRAG) Marj Belot (Chair), Carol Kennedy, Guido Wisotzki, Bill Lyons, John Howick, Antonio Zenone, Melina Kurtakis, Peter Francis, Sarah Hrabi, Hisae Nakamura, Dr. Linda Li, Alison Hoens.