WebMEDICAL GUIDELINES FOR CLEARING SURGICAL SPINE . A. Patients at Risk for Cervical Injury that Require Evaluation . o Any patient with a mechanism of injury that may result in a c-spine injury and has one or more of the following risk factors: - Neck pain, tenderness, muscle spasm - Altered mental status, GCS <14 WebCervical spine (C-spine) collar clearance or removal is well established for the alert patient with or without symptoms; 1,2 however, for the obtunded adult blunt trauma patient, it is …
Cost-effectiveness of MRI in Cervical Clearance of Obtunded …
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 ... WebAs noted in this manuscript, the optimal method of CS clearance in obtunded patients with blunt trauma with a negative CT CS remains unclear. It remains to be seen if CT CS alone will be sufficient, especially given advances in CT technology. The role of MRI CS in this patient population needs to be clarified. References . Pasquale M, Fabian TC. diamond drinks vero beach fl
Clearing the cervical spine in obtunded patients - PubMed
WebApr 12, 2024 · Despite many guidelines, recommendations, and validated algorithms, clearance of cervical spine (C-spine) in neurologically obtunded patients following … WebOct 4, 2024 · A systematic review of the need for MRI for the clearance of cervical spine injury in obtunded blunt trauma patients after normal cervical spine CT. J Emerg Trauma Shock 2014; 7:251. Patel MB, Humble SS, Cullinane DC, et al. Cervical spine collar clearance in the obtunded adult blunt trauma patient: a systematic review and practice … 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. circuit tracer kit ac coupling