imaging should be done in emergency departments to rule the injuries at immediate basis which may decrease the morbidity of trauma patients.
Healey and his colleagues conducted a 4-year review of trauma patients aged 55 years and older who were treated for a C-spine
The Canadian C-spine
rule versus the NEXUS low-risk criteria in patients with trauma.
Mechanisms of injury are age related, with younger children sustaining C-spine
injuries as a result of motor vehicle accidents and older adolescents commonly injured during sporting activities.
The topics which were discussed in detail included Local Trauma Perspective, PTC System and ABCDE of Trauma, Airway and Breathing, Basic Airway, Advanced Airway, Chest Drain, C-Spine
control and Log Roll, Head and Spinal Injuries, Limb injuries, Burns management.
The results of this study suggest that the Canadian C-spine
rule has the potential to affect healthcare costs considerably.
Now, after 14 series, I daresay the committed ER fan could walk into any county hospital and confidently order a tox screen, CBC, chem-7 and cross-table C-spine
with the best of them.
An adequate C-spine
clearance protocol for unconscious trauma patients must avoid missed injuries and also avoid complications of unnecessary spinal immobilisation that include decubitus ulceration, pulmonary infection, deep vein thrombosis and increased length of hospital stay.
The three most common exams that require a horizontal beam from a portable machine are the AP chest, lateral cross-table C-spine
and surgical cross-table lateral hip.
The Canadian C-Spine
Rule for Radiography in Alert and Stable Trauma Patients" is another prospective cohort study investigating this issue.
35 (logM) logarithmic median Fuji 200-300 (S-value) sensitivity range Kodak 1850-2150 exposure index Table 4 Sample of S Numbers of CR Examinations Anatomical area S number AP shoulder 836 Lateral C-spine
187 Lateral sacrum 798 AP abdomen 41 AP abdomen 649 PA chest 382 PA chest 236 Lateral chest 86 Lateral chest 959
She used her skills to assist one victim who was lying on the road in critical condition, holding manual C-spine
stabilization until help arrived.
1) The originators of the Ottawa Ankle and Knee rules have created a decision rule for use of C-spine
She's even more surprised when a copy of the missing c-spine
x-ray is used by David during a lecture to a group of nurse practitioners.