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Thu Dec 21 20:44:08 GMT 2006

Dear list,

     What are your opinions on clearing the c-spine in the unexaminable pt? If the initial w/u is neg. ( plain films + ct, CT alone etc.) do you persue further studies to r/o ligametous injury or do you d/c the c-collar at that point?? To better claify, we are talking about a pt who you do not feel you can get a clinical exam on in the near future i.e head trauma, prolonged intubation etc. I typically MRI the pt. at or about day 5 post injury before d/c'ing the collar. Any literature supporting your various views would be greatly appreciated.

  Joseph Catino M.D.

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c-spine clearance