The Canadian C-Spine Rule for Radiography in Alert and Stable Trauma Patients

Article Abstract:

Canadian researchers describe an algorithm that can determine whether an injured patient has an injured neck, based on an assessment of 8,924 patients. The algorithm can identify which patients need an X-ray of their neck and which do not.

Algorithms, Spinal cord injuries, Neck injuries

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The Canadian C-Spine Rule versus the NEXUS Low-Risk Criteria in patients with trauma

Article Abstract:

The Canadian C-Spine Rule (CCR) is more accurate than the National Emergency X-Radiography Utilization Study (NEXUS) Low-Risk Criteria for identifying trauma patients who probably do not have an injured neck and therefore do not need a neck X-ray. This was the conclusion of a study of 8,283 patients. The CCR only missed one patient with a neck injury whereas the NEXUS criteria missed 16 patients with a neck injury. The CCR also reduced the number of neck X-rays that were done.

Diagnosis, Radioscopic, Radioscopic diagnosis

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Comparison of the Canadian CT Head Rule and the New Orleans Criteria in patients with minor head injury

Article Abstract:

A study compares the clinical performance of the Canadian Computed Tomography (CT) Head Rule (CCHR) and the New Orleans Criteria (NOC) for detecting the need for neurosurgical intervention and clinically important brain injury. Results show that for patients with minor head injury and a Glasgow Coma Scale (GCS) score of 15, both decision rules have equivalent high sensitivities, but the CCHR has higher specificity for important outcomes and its use may result in reduced imaging rates.

United States, Product standards, safety, & recalls, Standards, Usage, Head injuries, CT imaging, CAT scans

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