C-spine rules
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| 🇬🇧 | 🇬🇧 |
| Age >= 65, dangerous mechanism, or paraethesia in extremities | In the Canadian c-spine rules what are the high-risk factors which would cause you to send for radiography |
| 1) Fall from >= than 3 feet or 5 stairs 2) Axial load to head (e.g. diving) 3) MVC high speed (>100km/hr, rollover, ejection 4) Motorised recreational vehicles 5) bicycle struck or collision | What would constitute a dangerous mechanism? (5 answers) |
| 1) Able to sit in ER 2) No midline tenderness of C-spine 3) Ambulatory at any time since accident 4) Delayed onset of pain 5) Simple rear-end motor vehicle collision (MVC) (excludes being pushed into oncoming traffic, hit by bus or large truck, rollover, or hit by high speed vehicle) | What are the low risk factors which allow for safe assessment of ROM? (5 answers) |
| 45º left and right | What angle are they actively able to rotate their neck, if not needing radiography? |
| 1) Non-trauma cases 2) Glasgow coma scale < 15 3) Unstable vital signs 4) Age < 16 years 5) Acute paralysis 6) Known vertebral disease 7) Previous c-spine surgery 8) Pregnant | In what situations are these rules not applicable? (8 answers) |