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C-spine clearance

Avi Roy Shapira trauma-list@trauma.org
Fri, 25 Apr 2003 13:41:34 +0300 (IDT)


On Wed, 23 Apr 2003, Ronald Simon wrote:

> I am missing something here:
> 
> statement 1: the ATLS no longer advocates Xtable lateral c spine film
> 
> statement 2: You can clear the c-spine clinically, or with plain
> films using 3 views
> 
> Aren't xtable laterals one of the 3 views?

Of course it is. But in the past, X table lateral was one of the three
x-rays to get in the ER.   This is no longer advocated. 

Avi 


> 
> 
> Avi Roy Shapira wrote:
> 
> >Dear Yoram, 
> >
> >I don't know the source for the "current recommendation" to use a CT.  
> >however, the ATLS no longer advocates Xtable lateral c spine film. This is
> >a useless study.  You can clear the c-spine clinically, or with plain
> >films using 3 views, or with dynamic studies.
> >
> >Please provide the reference to the use of CT.
> >
> >Avi
> > 
> >
> > On Sun, 20 Apr 2003, yoram klein wrote:
> >
> >
> >  
> >
> >>Good day everybody,
> >>I have a question regarding cervical spine clearance
> >>in comatose trauma patients. The current
> >>recommendation is to perform a c-spine CT for those
> >>patients, since the plain cervical films are
> >>inadequate.  Is there still a place for plain lateral
> >>c-spine films in those cases? Can we gain any
> >>information from the plain films that we can't obtain
> >>from the CT? What are the guidelines in your ED? 
> >>
> >>Thanks
> >>
> >>Yoram Klein MD,
> >>Hadassah medical center
> >>Jerusalem, Israel
> >>
> >>
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> >>    
> >>
> >
> >==========================================================================
> >Aviel Roy-Shapira, M.D.              Soroka University Hospital &
> >Dept. of Surgery A. and              Ben-Gurion University Medical School 
> >the Critical Care Unit               POB 151, Beer Sheva, Israel
> > 
> >email:avir@bgumail.bgu.ac.il         Fax:972-7-6403260 voice:972-7-6403390
> >
> >
> >
> >
> >
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> >  
> >
> 
> 

==========================================================================
Aviel Roy-Shapira, M.D.              Soroka University Hospital &
Dept. of Surgery A. and              Ben-Gurion University Medical School 
the Critical Care Unit               POB 151, Beer Sheva, Israel
 
email:avir@bgumail.bgu.ac.il         Fax:972-7-6403260 voice:972-7-6403390