TRAUMA
Use of Canadian C-Spine Rule decreases unnecessary imaging, without missing injury
This report has been verified
by one or more authors of the
original publication.
BMJ. 2009 Oct 29;339:b4146. doi: 10.1136/bmj.b4146.
11,824 stable and alert patients presenting with blunt trauma to the head or neck took part in this matched pair cluster randomized trial. 12 hospitals were randomized to either implement the Canadian C-spine rule or to not implement this rule. This study evaluated the efficacy of the Canadian C-spine rule use in Canadian hospitals. The Canadian C-spine rule was able to successfully identify all clinically important injuries with 100% sensitivity, while reducing unnecessary imaging.
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