Computed Tomography Versus Observation for Intoxicated Patients With Possible Cervical Spine Injury in the United States and Canada: Zero-Order Kinetics in Both Countries

2014 ◽  
Vol 63 (4) ◽  
pp. 498 ◽  
Author(s):  
James H. Moak
Keyword(s):  
United States ◽  
Computed Tomography ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
The United States ◽  
Zero Order ◽  
Spine Injury ◽  
Zero Order Kinetics

Computed Tomography for Clearance of Cervical Spine Injury in the Unevaluable Patient

2013 ◽  
Vol 80 (3-4) ◽  
pp. 405-413 ◽  
Author(s):  
Jonathan J. Russin ◽  
Frank J. Attenello ◽  
Arun P. Amar ◽  
Charles Y. Liu ◽  
Michael L.J. Apuzzo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury

scholarly journals Consensus Recommendations on the Prehospital Care of the Injured Athlete With a Suspected Catastrophic Cervical Spine Injury

2020 ◽  
Vol 55 (6) ◽  
pp. 563-572
Author(s):  
Brianna M. Mills ◽  
Kelsey M. Conrick ◽  
Scott Anderson ◽  
Julian Bailes ◽  
Barry P. Boden ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Prehospital Care ◽  
Athletic Trainers ◽  
Nominal Group Technique ◽  
The United States ◽  
Nominal Group ◽  
Spine Injury ◽  
Group Technique

Introduction Sports participation is among the leading causes of catastrophic cervical spine injury (CSI) in the United States. Appropriate prehospital care for athletes with suspected CSIs should be available at all levels of sport. The goal of this project was to develop a set of best-practice recommendations appropriate for athletic trainers, emergency responders, sports medicine and emergency physicians, and others engaged in caring for athletes with suspected CSIs. Methods A consensus-driven approach (RAND/UCLA method) in combination with a systematic review of the available literature was used to identify key research questions and develop conclusions and recommendations on the prehospital care of the spine-injured athlete. A diverse panel of experts, including members of the National Athletic Trainers' Association, the National Collegiate Athletic Association, and the Sports Institute at UW Medicine participated in 4 Delphi rounds and a 2-day nominal group technique meeting. The systematic review involved 2 independent reviewers and 4 rounds of blinded review. Results The Delphi process identified 8 key questions to be answered by the systematic review. The systematic review comprised 1544 studies, 49 of which were included in the final full-text review. Using the results of the systematic review as a shared evidence base, the nominal group technique meeting created and refined conclusions and recommendations until consensus was achieved. Conclusions These conclusions and recommendations represent a pragmatic approach, balancing expert experiences and the available scientific evidence.

Detection of Cervical Spine Injuries in Alert, Asymptomatic Geriatric Blunt Trauma Patients: Who Benefits from Radiologic Imaging?

2006 ◽  
Vol 72 (9) ◽  
pp. 773-777 ◽  
Author(s):  
Adrian W. Ong ◽  
Aurelio Rodriguez ◽  
Robert Kelly ◽  
Vicente Cortes ◽  
Jack Protetch ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Blunt Trauma ◽  
Cervical Spine Injury ◽  
Motor Vehicle ◽  
Spine Injury ◽  
Trauma Patients ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Anatomic Locations

There are differing recommendations in the literature regarding cervical spine imaging in alert, asymptomatic geriatric patients. Previous studies also have not used computed tomography routinely. Given that cervical radiographs may miss up to 60 per cent of fractures, the incidence of cervical spine injuries in this population and its implications for clinical management are unclear. We conducted a retrospective study of blunt trauma patients 65 years and older who were alert, asymptomatic, hemodynamically stable, and had normal neurologic examinations. For inclusion, patients were required to have undergone computed tomography and plain radiographs. The presence and anatomic location of potentially distracting injuries or pain were recorded. Two hundred seventy-four patients were included, with a mean age of 76 ± 10 years. The main mechanisms of injury were falls (51%) and motor vehicle crashes (41%). Nine of 274 (3%) patients had cervical spine injuries. The presence of potentially distracting injuries above the clavicles was associated with cervical injury when compared with patients with distracting injuries in other anatomic locations or no distracting injuries (8/115 vs 1/159, P = 0.03). There was no association of cervical spine injury with age greater or less than 75 years or with mechanism of injury. The overall incidence of cervical spine injury in the alert, asymptomatic geriatric population is low. The risk is increased with a potentially distracting injury above the clavicles. Patients with distracting injuries in other anatomic locations or no distracting injuries may not need routine cervical imaging.

Radiographic Clearance of Blunt Cervical Spine Injury: Plain Radiograph or Computed Tomography Scan?

2003 ◽  
Vol 55 (2) ◽  
pp. 222-227 ◽  
Author(s):  
Margaret M. Griffen ◽  
Eric R. Frykberg ◽  
Andrew J. Kerwin ◽  
Miren A. Schinco ◽  
Joseph J. Tepas ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Plain Radiograph ◽  
Spine Injury ◽  
Computed Tomography Scan ◽  
Tomography Scan

Imaging suspected cervical spine injury: Plain radiography or computed tomography? Systematic review

Radiography ◽  
2010 ◽  
Vol 16 (1) ◽  
pp. 68-77 ◽  
Author(s):  
Gavin Cain ◽  
Jane Shepherdson ◽  
Vicki Elliott ◽  
Jon Svensson ◽  
Patrick Brennan
Keyword(s):  
Computed Tomography ◽  
Systematic Review ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Plain Radiography ◽  
Spine Injury
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