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===[[Special:MyLanguage/Canadian cervical spine rule|Canadian Cervical Spine Rule]]===
===[[Special:MyLanguage/Canadian cervical spine rule|Canadian Cervical Spine Rule]]=== <!--T:1-->


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[[File:Canadian cspine.png|thumb|Algorithm for evaluation of cervical spine injuries (Canadian C-spine Rule)]]
[[File:Canadian cspine.png|thumb|Algorithm for evaluation of cervical spine injuries (Canadian C-spine Rule)]]


====No High Risk Factors====
====No High Risk Factors==== <!--T:3-->


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*Age >65
*Age >65
*Dangerous mechanism (fall>3ft/5 stairs, high speed MVC (>60mph)/rollover/ejection, bicycle crash, RV, axial load injury)
*Dangerous mechanism (fall>3ft/5 stairs, high speed MVC (>60mph)/rollover/ejection, bicycle crash, RV, axial load injury)
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====ANY Low Risk Factor====
====ANY Low Risk Factor==== <!--T:5-->


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*Simple rear end MVC
*Simple rear end MVC
*Delayed onset of pain
*Delayed onset of pain
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*Absence of midline C-spine tenderness
*Absence of midline C-spine tenderness


====ROM====
====ROM==== <!--T:7-->


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*Rotates neck 45 degrees to left and right
*Rotates neck 45 degrees to left and right


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'''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|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>
'''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|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>
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Revisión actual - 05:21 26 ene 2026

Otros idiomas:

Canadian Cervical Spine Rule

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[1] [2]

  1. 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
  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(26):2510-8.