Canadian c spine rule- jabez

caadian c spine rule

1. Canadian C - SPINE RULE JABEZ

2. Canadian C-Spine Rule The Canadian C-Spine Rules (CCR) is an assessment tool used to rule out cervical spine injury in low-risk patients, obviating the need for radiography . The Canadian C - Spine Rule is applicable to patients who are in an alert and stable condition following trauma where cervical spine injury is a concern

3. Creator Of Canadian C-Spine Rule Dr.Ian Stiell , MD, MSc , FRCPC , is Professor and Chair, Department of Emergency Medicine, University of Ottawa; Distinguished Professor and University Health Research Chair, University of Ottawa; Senior Scientist, Ottawa Hospital Research Institute; and Emergency Physician, The Ottawa Hospital.

4. Step 1 Is there any high-risk factor that mandates radiography? These include the following: * Age older than 65 years. * Mechanism of injury considered dangerous. * Numbness or tingling present in the extremities .

5. EXAMPLE FOR STEP 1 : A dangerous mechanism of injury would be, for example, a fall from an elevation of 3 feet or higher, a bicycle collision, an axial load to the head ( eg , resulting from a dive into an empty swimming pool), or a motor vehicle collision involving high speed, rollover, or ejection. If the answer to any of these is yes, the patient is at risk for having a cervical spine injury and neck radiography should be performed. Otherwise, proceed to step 2.

6. Step 2 Are there any low-risk factors that indicate safe assessment of range of motion? They are as follows: * Simple rear-end motor vehicle collision. * Patient ambulatory at any time since injury. * Delayed onset of neck pain . * Patient in sitting position in emergency department . * Absence of midline cervical spine tenderness . If none of these low-risk factors is present, the patient is at risk for having a cervical spine injury and neck radiography should be performed. Otherwise, proceed to step 3.

7. Step 3 Is the patient able to actively rotate his or her neck 45° left and right? If no, the patient is at risk for having a cervical spine injury and neck radiography should be performed. If yes, radiography is not performed .

8. Thank you !!!