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===[[Canadian cervical spine rule|Canadian Cervical Spine Rule]]===
[[File:Canadian cspine.png|thumb|Algorithm for evaluation of cervical spine injuries (Canadian C-spine Rule)]]
====No High Risk Factors====
*Age >65
*Dangerous mechanism (fall>3ft/5 stairs, high speed MVC (>60mph)/rollover/ejection, bicycle crash, RV, axial load injury)
*Parasthesias in extremities

====ANY Low Risk Factor====
*Simple rear end MVC
*Delayed onset of pain
*Sitting position in ED
*Ambulatory at any time
*Absence of midline C-spine tenderness
====ROM====
*Rotates neck 45 degrees to left and right

'''C-spine can be cleared clinically if above criteria met'''<ref> Stiell IG,et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA. 2001 Oct 17;286(15):1841-8. [[EBQ:Canadian C-spine Rule Study]]</ref> <ref> 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(26):2510-8. </ref>