Canadian C-Spine Rule

Determines who can be cleared clinically of cervical spine fracture without imaging, by Canadian study criteria.

Age ≥ 65? Extremity Paresthesias? Dangerous Mechanism?
  • (fall from ≥ 3ft / 5 stairs,
  • axial load injury,
  • high speed MVC/rollover/ejection,
  • bicycle collision,
  • motorized recreational vehicle)
Algorithm from The Canadian C-spine rule performs better than unstructured physician judgment, see below:

Posted in: NeurologicNeurologySurgeryTrauma









The NNT : Quick Summaries of Evidence-Based Medicine