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Consider this Case Study

trauma-list@trauma.org trauma-list@trauma.org
Fri, 21 Jun 2002 11:06:10 -0400

In a message dated Fri, 21 Jun 2002 9:35:52 AM Eastern Standard Time, jmeade@statdoc.com writes:

> Perhaps “field criteria” have been published that are different from the ED criteria for clinical clearance of cervical spines. The published ED criteria do not mention mechanism of injury as a criterion. There are 5 criteria that must be met to clinically clear: no midline cervical tenderness, no focal neurologic deficit, normal alertness, no intoxication, and 
> no painful, distracting injury.

You seem to have misunderstood the post to which you responded--mechanism of injury was not the issue--the point was that the distracting pain of the arm fracture is a clear criterion (as you go on to confirm yourself)preventing C-spine clearance on clinical grounds, in the field OR in the ER