A clinical-decision rule for cervical spine injury.
نویسنده
چکیده
Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma.
منابع مشابه
Cervical spine clearance in trauma patients
Injuries to the cervical spine occur in approximately 4% of trauma patients, including 8% of patientswho are unconscious or obtunded, and 3% of alert trauma presentations. Failure in detecting cervical spine injury in an efficient and timely manner in the acute clinical setting can result in catastrophic consequences involving permanent neurologic sequelae. As a result, clinical assessment and ...
متن کاملCanadian C-Spine Rule study for alert and stable trauma patients: I. Background and rationale.
This paper is Part I of a 2-part series to describe the background and methodology for the Canadian C-Spine Rule study to develop a clinical decision rule for rational imaging in alert and stable trauma patients. Current use of radiography is inefficient and variable, in part because there has been a lack of evidence-based guidelines to assist emergency physicians. Clinical decision rules are r...
متن کاملCervical spine - assessment following trauma.
BACKGROUND Although cervical spine trauma is more common following high velocity mechanisms of injury resulting in multiple injuries, falls and low velocity mechanisms may also result in serious cervical spine injury. OBJECTIVE This article describes the assessment and management of potential cervical spine injury in the primary care setting. DISCUSSION Patients presenting following trauma ...
متن کاملAssociation of injury mechanism with the risk of cervical spine fractures.
OBJECTIVE A full understanding of an injury event and the mechanical forces involved should be important for predicting specific anatomical patterns of injury. Yet, information on the mechanism of injury is often overlooked as a predictor for specific anatomical injury in clinical decision-making. We measured the relationship between mechanism of injury and risk for cervical spine fracture. M...
متن کاملThe out-of-hospital validation of the Canadian C-Spine Rule by paramedics.
STUDY OBJECTIVE We designed the Canadian C-Spine Rule for the clinical clearance of the cervical spine, without need for diagnostic imaging, in alert and stable trauma patients. Emergency physicians previously validated the Canadian C-Spine Rule in 8,283 patients. This study prospectively evaluates the performance characteristics, reliability, and clinical sensibility of the Canadian C-Spine Ru...
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عنوان ژورنال:
- CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
دوره 163 6 شماره
صفحات -
تاریخ انتشار 2000