Canadian C-Spine Rule: Difference between revisions
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A simple rear-end collision exludes: being pushed into oncoming traffic, being hit by a bus or large truck, a rollover, 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 rollover, being hit by a high speed vehicle. | ||
== | == Usefulness == | ||
Sn= 99.4 Sp=45.1 <ref name="Stiell et al.">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.</ref> | [[Test_Diagnostics|Sn]]= 99.4 [[Test_Diagnostics|Sp]]=45.1 <ref name="Stiell et al.">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.</ref> | ||
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. | [[Test_Diagnostics|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. | ||
== Evidence<br> == | == Evidence<br> == | ||
Revision as of 03:34, 23 February 2013
Original Editor - Josh McCormack
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Purpose
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The Canadian C-Spine Rule (CCR) is a decision making tool used to determine when radiography should be utilized in patients following trauma.
Population[edit | edit source]
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 .
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.
The Rule[edit | edit source]
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.
A simple rear-end collision exludes: being pushed into oncoming traffic, being hit by a bus or large truck, a rollover, being hit by a high speed vehicle.
Usefulness[edit | edit source]
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.
Evidence
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Resources[edit | edit source]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ 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.
