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
Original Editor - Josh McCormack
The Canadian C-Spine Rule (CCR) is a decision making tool used to determine when radiography should be utilized in patients following trauma.
The Canadian C-Spine Rule is applicable to patients who are in an alert (Glasgow Coma Scale score of 15) and stable condition following trauma where cervical spine injury is a concern.
It is not applicable in non-trauma cases, if the patient has unstable vital signs, acute paralysis, known vertebral disease or previous history of Cervical Spine surgery and age <16 years.
Negative Likelihood Ratio associated with this highly sensitive test is less than 5%. This means there is only a 5% chance that if you get a negative finding for this test, the patient would still have the condition.
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