WebCERVICAL SPINE CLEARANCE SUMMARY Cervical spine clearance following traumatic injury is an area of significant controversy. Patients often fall into one of two categories: those who are awake, alert, and able to participate in a clearance protocol and those who are obtunded and unable to facilitate clearance of their cervical spine. WebApr 1, 2024 · In patients with pain or c-spine tenderness, neurological deficit, patients with significant distracting injuries, or patients with altered sensorium additional radiological screening is indicated, (Raza et al., 2013). However, c-spine clearance of the Obtunded Blunt Trauma Patient (OBTP) is less straightforward.
Trauma Clinical Guideline Cervical Spine Injury Evaluation
Patel, Mayur B. MD, MPH; Humble, Stephen S.; Cullinane, Daniel C. MD; Day, Matthew A. MD; Jawa, Randeep S. MD; Devin, Clinton J. MD; Delozier, Margaret S.; Smith, Lou M. MD; Smith, Miya A.; Capella, Jeannette M. MD, MEd; Long, Andrea M. MD; Cheng, Joseph S. MD, MS; Leath, Taylor C. BS, MPH; Falck-Ytter, Yngve … See more Cervical spine (C-spine) collar clearance or removal is well established for the alert patient with or without symptoms; however, for the obtunded adult blunt trauma patient, it is unclear whether primary … See more In obtunded adult blunt trauma patients, we conditionally recommend cervical collar removal after a negative high-quality C-spine CT scan result … See more We thank the EAST membership for the feedback during this process and the EAST Guidelines Committee for the presubmission peer … See more The multispecialty authors of this guideline conclude that in obtunded adult blunt trauma patients, cervical collars should be removed after a negative high-quality C-spine CT result … See more WebThe incidence of cervical spine injury in patients with polytrauma is 3.7%. Early identification and management of cervical spine injuries in these patients play a crucial role in preventing secondary cervical spine and cord injuries. C -spine clearance assumes a pivotal role in reducing the morbidity and mortality associated with cervical ... how to shower with tlso brace
C-spine clearance in poly-trauma patients: A narrative review
WebSeveral studies suggest that c-spine radiography may not have adequate sensitivity to rule out spine fracture, especially in the elderly. Despite this, spine radiography may be used if the adult patient is more than 65 years of age and is considered low risk. The following low risk criteria outline a group in which plain c-spine radiography may ... WebCervical spine clearance by physical exam requires that the patient is examinable, i.e. has a normal mental status, no intoxicants, language barrier, or other ... Perhaps the most contested point in management is the disposition of the obtunded patient with a normal screening neck CT with normal age appropriate findings. A WebJan 1, 2024 · C-spine clearance in obtunded patients. Blunt trauma in an obtunded or intoxicated patient presents a challenging scenario due to the inability to perform a neurological exam, neck range of motion according to CCR or elicit a proper history in many cases. Nevertheless, early diagnosis and prevention of prolonged immobilization is … notts forest football ground