C-Spine Clearance by ED Triage Nurses

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If these are the same criteria used in Maine (USA), they chiefly serve to
keep bystanders from being immobilized against their will.

Too often, MECHANISM ALONE IS A DISTRACTING INJURY.  It's easy to minimize
or ignore a sore neck or back when you've just almost died, or almost killed
someone else, or actually killed someone else, or have no insurance, or just
totalled dad's car.

I'm all for getting them off the board; but spine clearance can wait for a
clinician and some judicious imaging.

Pret Bjorn, RN
Bangor, ME USA


-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of jennymurphy61 at bigpond.com
Sent: Monday, May 11, 2009 7:19 PM
To: Trauma List
Subject: C-Spine Clearance by ED Triage Nurses


What is the group's opinion of C-spine clearance by Emergency Department
triage nurses using the Nexus Low-Risk Criteria or Canadian C-Spine Rule.
Has this been a successful initative in some hospitals ?

Jenny.
CN. Emergency Department
Base Hospital. Bundaberg.
Queensland. Australia.
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