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Canadian C-Spine Rule

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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]

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