Jel
It's in the department guidelines where I work. However, the original
description doesn't mention imaging based solely on mechanism (nor
x-raying everyone aged over 65 who walks into the department). The
inclusion criteria were:
- neck pain from any mechanism of injury
- no neck pain but had all of the following:
- some visible injury above the clavicles
- had not been ambulatory
- had sustained a dangerous mechanism of injury
It also mentions excluding those with clearly minor injuries.
As I read that, your ATV rollover patient walking into the department
would not fall into the guideline unless he/she also had neck pain.
Regards
Michael
Stiell IG, Wells GA, Vandemheen KL, Clement CM, Lesiuk H, De Maio VJ, et
al. The Canadian Cervical Spine Radiography Rule for alert and stable
trauma patients. Journal of the American Medical Association 2001;
286:1841-1848.
> Can I re-ask my supplementary question though, please - how many folks
> are using the Canadian C-spine Rule in the UK? (_and_ thus x-raying just
> based on the mechanism of injury as is suggested).
>
>
> Jel
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