Run-in period. This phase will allow the paramedics to fully clear the c-spine of low-risk patients.
When can you clear c spine?
The goal is to clear the C-spine within four hours. If there is a significant painful “distracting” injury, then the goal is to clear the C-spine in less than 12 hours. iii. If the CT shows abnormalities, then the orthopedic or neurosurgical spine service should be consulted prior to removing the collar.
When is cervical clearance done?
Clinical clearance can be performed when the following criteria are met: the child is old enough to effectively communicate pain; the child is fully alert without evidence of intoxication or mental status change; no paraspinal or midline cervical tenderness is present; no evidence of a neurologic deficit or a history …
What is the C spine?
About the cervical spine
The cervical spine refers to the seven spinal bones (vertebrae) in the neck. It supports the head and connects to the thoracic spine. Most of the ability to turn the head comes from the top two segments of the cervical spine.
What are C spine precautions?
DEFINITIONS: 1. Cervical spine (c-spine) immobilization: The patient should be positioned supine in neutral alignment with no rotation or bending of the spinal column. The cervical spine should be further immobilized with use of a rigid cervical collar.
When should you suspect C spine injury?
Spinal cord injury should be suspected in unconscious patients, or in patients with axial neck pain or those with evidence of neurological injury. Beware that absence of neurologic findings does not eliminate the possibility of spinal cord injury. Physical examination should include a detailed neurological examination.
When should you use spinal immobilization?
Patients who should have spinal immobilization include the following:
- Blunt trauma.
- Spinal tenderness or pain.
- Patients with an altered level of consciousness.
- Neurological deficits.
- Obvious anatomic deformity of the spine.
- High energy trauma in a patient intoxicated from drugs, alcohol, or a distracting injury.
When do you use C spine immobilization?
Spinal Immobilization Indicated
- Blunt trauma.
- Altered mental status.
- Midline spinal pain or tenderness.
- Neurologic complaints or findings.
- Anatomic deformity of spine.
What is the leading cause of spinal cord injuries?
The leading causes of spinal cord injury are road traffic crashes, falls and violence (including attempted suicide). A significant proportion of traumatic spinal cord injury is due to work or sports-related injuries.
What does a cervical collar do?
A neck collar, also known as a neck brace or cervical collar, is an instrument used to support the neck and spine and limit head movement after an injury. Its purpose is to prevent you from moving your head and neck until the injury is healed.
What is Nexus criteria?
NEXUS (National Emergency X-Radiography Utilization Study) is a set of validated criteria used to decide which trauma patients do not require cervical spine imaging.
How do you treat a cervical spine injury?
First aid measures of early closed reduction or realignment and immobilization of the cervical spine, breathing support and high-dose methylprednisolone were most important in the treatment for traumatic spinal cord injury. Surgery should be performed as soon as the indications of spinal injury appear.