this and that

• Previous message: this and that
• Next message: this and that
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

 
In a message dated 10/9/2005 8:27:23 P.M. Eastern Daylight Time,  
sumieb at compuserve.com writes:

So you  have a awake and alert patient, has midline tenderness, no  peripheral
deficits, normal 3 view plain films and normal CT.

Does  that clear the c-spine?  Do you need flexion/extension (passive  or
active)?




An awake and alert patient with no neck tenderness clears the c-spine all  by 
itself --no x-rays are necessary and need not be gotten--collar off with that 
 alone.  This is nothing new, friends--again, for the literature on this and  
standard of care (which the above is) see EAST Practice Management Guidelines 
at  _www.east.org_ (http://www.east.org) 
If there is tenderness, CT is close to becoming the standard--if negative,  
collar stays on until neck tenderness resolves.  In other words, the  ultimate 
clearance is NOT x-rays but phys exam
ERF

• Previous message: this and that
• Next message: this and that
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]