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Matt, I was unaware that the Canadian rule had been validated in a study outside that done by the original authors. Do you have a reference at all? Paul Quoting "Dunn Matthew Dr. (RJC) ACCIDENT & EMERGENCY - SwarkHosp-TR" <[log in to unmask]>: > We use the Canadian rules (these have now been validated and are both more > sensitive and more specific than the NEXUS criteria), but allow individuals > to use their own judgement (still). As Andrew says, these are essentially > the NICE guidelines. We allow our nurses to act as professionals, so don't > place any restrictions on what they do other than that they ensure they are > competent to do it. Most of our nurses are still a bit worried around necks, > but some are starting to use the Canadian rules in the more obvious cases > (our ambulance service still use NEXUS). > Unfortunately a lot of our patients are over 65 so have to get x-rays still. > > Matt Dunn > Warwick > > > > This email has been scanned for viruses by NAI AVD however we are unable to > accept responsibility for any damage caused by the contents. > The opinions expressed in this email represent the views of the sender, not > South Warwickshire General Hospitals NHS Trust unless explicitly stated. > If you have received this email in error, please notify the sender. >