Implementation of the Canadian C-spine rule reduced x-ray ordering by 25%. Key words: Canadian C-Spine Rule trauma, blunt clinical prediction rules decision-making in- jury, cervical-spine radiography emergency medicine. Time in hard collar was also reduced from a median of 128 min to a median of 103 min (effect size 25.5 min), but this did not reach statistical significance. Implementation of the Canadian C-spine rule reduces cervical spine x-ray rate for alert patients with potential neck injury Debra Kerr, BN, MBL. The x-ray ordering rate decreased from 67% to 50% (25% relative reduction, p = 0.0187). C-Spine Rule Summary Description: The Canadian C-Spine Rule was designed in 2001 to assist clinicians assess the need for imaging in people who present to the emergency department with a cervical. Data analysis was by chi-square test for proportions and Mann-Whitney U test for continuous variables. Data collected included demographics, mechanism of injury, x-ray rate, and time in hard collar. The objectives of this before-and-after study of alert, stable adult patients presenting to the Emergency Department of Western Hospital with potential neck injuries who were immobilized in hard cervical collars were to determine the impact of implementation of the Canadian C-spine rule on x-ray ordering rates and whether implementation of the rule reduced time in hard collars for patients with potential neck injury. The Journal of Emergency Medicine, 28 (2). Implementation Of The Canadian C-Spine Rule Reduces Cervical Spine X-Ray Rate for Alert Patients with Potential Neck Injury. Retrospective application of the NEXUS low-risk criteria for cervical spine radiography in Canadian emergency departments. 12:CD011686.Kerr, Debra, Bradshaw, Luke and Kelly, Anne-Maree In addition, we sought to assess nurse compliance in applying the Canadian C-Spine Rule, as well as their comfort in doing so. Our secondary goal was to evaluate the effect of nurses using the Canadian C-Spine Rule to apply collars to patients who arrive without immobilization. Triage tools for detecting cervical spine injury in pediatric trauma patients. cervical spine immobilization from patients arriving by ambulance. Even though it does not provide a diagnosis, first aid responders can rule out major risk factors and whether SMR is justified and. The Canadian C-Spine Rule was created in response to increased costs associated with non-essential radiography (98) and increased patient wait times while immobilized to back boards. Slaar A, Fockens MM, Wang J, Maas M, Wilson DJ, Goslings JC, et al. The Canadian C-Spine Rule is used by responders and by in-hospital health care providers to determine whether SMR is necessary and to understand the degree of damage to the neck and spine. Pathologic C-spine fracture with low risk mechanism and normal physical exam. Facilitators and barriers to application of the Canadian C-spine rule by emergency department triage nurses. The Canadian C-spine rule for those with a normal Glasgow coma scale and. 182(11):1173-9.Ĭlement CM, Stiell IG, Lowe MA, Brehaut JC, Calder LA, Vaillancourt C, et al. Clearing the cervical spine is the process by which medical professionals determine whether. Multicentre prospective validation of use of the Canadian C-Spine Rule by triage nurses in the emergency department. the rules are derived from original research and incorporate three or more variables from the history, examination, or simple tests. Stiell IG, Clement CM, O'Connor A, Davies B, Leclair C, Sheehan P, et al. The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age 65 years dangerous mechanisms of injury, and sensory neurologic deficit (Figure 1). The Canadian C-spine rule for radiography in alert and stable trauma patients. Stiell IG, Wells GA, Vandemheen KL, Clement CM, Lesiuk H, De Maio VJ, et al. Canadian C-spine rules are a set of guidelines that help a clinician decide if cervical spine imaging is not appropriate for a trauma patient in the emergency department. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. Algorithm: Summary Statement: The Canadian C-Spine Rule (CCR) evolved from a landmark study. Stiell IG, Clement CM, McKnight RD, Brison R, Schull MJ, Rowe BH, et al.
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