INTERNATIONAL STANDARDS FOR NEUROLOGICAL CLASSIFICATION OF SPINAL CORD INJURY.
Traumatic subaxial cervical facet subluxation and dislocation: epidemiology, radiographic analyses and risk factors for spinal cord injury. Quarrington RD, Jones CF, Tcherveniakov P, Clark JM, Sandler SJI, Lee YC, et al. Pearls for Interpreting Computed Tomography of the Cervical Spine in Trauma. 2015 Sep 9.ĭarras K, Andrews GT, McLaughlin PD, Khorrami-Arani N, Roston A, Forster BB, et al.
Canadian c spine rules update#
A review and update on the guidelines for the acute management of cervical Spinal Cord Injury (SCI) - part II. Yue JK, Chan AK, Winkler EA, Upadhyayula P, Readdy WJ, Dhall SS. Use of video-assisted intubation devices in the management of patients with trauma. Videolaryngoscopy with Glidescope Reduces Cervical Spine Movement in Patients with Unsecured Cervical Spine. Kill C, Risse J, Wallot P, Seidl P, Steinfeldt T, Wulf H. Current Concepts in Pediatric Cervical Spine Trauma. Whats New in Emergencies, Trauma and Shock? Addressing Cervical Spine Fractures. Blunt cervical spine injury in adult polytrauma: incidence, injury patterns and predictors of significant ligament injury on CT. Clinical examination and its reliability in identifying cervical spine fractures. 61(3):686-7.ĭuane TM, Dechert T, Wolfe LG, Aboutanos MB, Malhotra AK, Ivatury RR. Risk of thoracolumbar fractures doubled in victims of motor vehicle collisions with cervical spine fractures. Winslow JE 3rd, Hensberry R, Bozeman WP, Hill KD, Miller PR. The role of emergency radiology in spinal trauma. Emergency department evaluation and treatment of cervical spine injuries. Judgement to limit CT to the body areas where assessment is needed.Kanwar R, Delasobera BE, Hudson K, Frohna W. Prevent neuropathic pain from developing in the chronic stage.ĭo not routinely use whole-body CT to image children (under 16s). Patients with blunt major trauma and suspected multiple injuries should not be repositioned during whole-body CT.ĭo not use the methylprednisolone, nimodipine or naloxone to provide neuroprotection and prevention of secondary deterioration, in the acute stage after acute traumatic spinal cord injury.ĭo not use medications in the acute stage after traumatic spinal cord injury to
Canadian c spine rules full#
Paragraph number: 1.1.10 Page number: 5 View all NICE do not do from this Guidanceĭo not transport people with suspected acute traumatic spinal cord injury (with or without column injury), with full in-line spinal immobilisation, directly to a spinal cord injury centre from the scene of the incident. Interventions: full in-line spinal immobilisation Source guidance details Guidance: Spinal injury: assessment and initial management (NG41) Published date: on mobilisation (sit, stand, step, assess walking): pain or abnormal neurological symptoms (stop if this occurs). Do Not Do Recommendation Details Recommendation: bony midline tenderness (on percussion) new deformity or bony midline tenderness (on palpation) on examination: abnormal neurological signs (motor or sensory deficit) abnormal neurological symptoms (paraesthesia or weakness or numbness) suspected spinal fracture in another region of the spine pre-existing spinal pathology, or known or at risk of osteoporosis – for example steroid use dangerous mechanism of injury (fall from a height of greater than 3 metres, axial load to the head or base of the spine – for example falls landing on feet or buttocks, high-speed motor vehicle collision, rollover motor accident, lap belt restraint only, ejection from a motor vehicle, accident involving motorised recreational vehicles, bicycle collision, horse riding accidents) age 65 years or older and reported pain in the thoracic or lumbosacral spine
Canadian c spine rules free#
Do not carry out or maintain full in-line spinal immobilisation in people if they have low-risk factors for cervical spine injury as identified and indicated by the Canadian C-spine rule, are pain free and are able to actively rotate their neckĤ5 degrees left and right, and they do not have any of the factors listed below:
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