Canadian C-Spine Rule: Difference between revisions

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== Important Definitions:   ==
== Important Definitions:   ==


==                  Dangerous mechanism: fall from 3 feet or 5 stairs, an axial load to the head, high speed MVA (>100km/h; 62/mph) or with rollover or ejection, a collision involving a motorized recreational vehicle, a collision involving a bicycle  ==
== Dangerous mechanism: fall from 3 feet or 5 stairs, an axial load to the head, high speed MVA (>100km/h; 62/mph) or with rollover or ejection, a collision involving a motorized recreational vehicle, a collision involving a bicycle  ==


==                   A simple rear end collision exludes: being pushed into oncoming traffic, being hit by a bus or large truck, a rolloever, and being hit by a high speed vehicle  ==
==                   A simple rear end collision exludes: being pushed into oncoming traffic, being hit by a bus or large truck, a rolloever, and being hit by a high speed vehicle  ==

Revision as of 21:14, 14 November 2009

Candian C-Spine Rule[edit | edit source]

Purpose: The Canadian C-Spine Rule (CCR) is a decision making tool used to determine when radiography should be utilized in patients following trauma.[edit | edit source]

Population: The CCR is applicable to patients who are in an alert (Glasgow Coma Scale score of 15) and stable condition following  trauma[edit | edit source]


The Rule:  File:CCR.jpg[edit | edit source]


Important Definitions: [edit | edit source]

Dangerous mechanism: fall from 3 feet or 5 stairs, an axial load to the head, high speed MVA (>100km/h; 62/mph) or with rollover or ejection, a collision involving a motorized recreational vehicle, a collision involving a bicycle[edit | edit source]

                  A simple rear end collision exludes: being pushed into oncoming traffic, being hit by a bus or large truck, a rolloever, and being hit by a high speed vehicle[edit | edit source]


Usefullness:[edit | edit source]

   Sn= 99.4 Sp=45.1[edit | edit source]


References:[edit | edit source]

Stiell IG et al. The Candian C-Spine Rule versus the NEXUS Low-Risk Criteria in patients with trauma. N Engl J Med 2003;349:2510-8.[edit | edit source]

[edit | edit source]