this and that

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>> Again--this does NOT clear the c-spine!  Only absence of tenderness on  exam does that!
>> ERF

And a normal whole C-spine CT?

We're clearing unconscious C-spines on CT only.  Why not awakes?

BTW I totally agree with Rick.  The Cspine clearance algorithm of the future will be:

Meets criteria for clinical clearance?
YES : Clear clinically
	Able to clear?
		YES: CLEAR
		NO:  CT
NO:   CT

+ Abnormal neurological exam: MRI

Karim

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