Neck injury: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
[[X-ray]] of the cervical spine should be considered, especially if the patient fulfills any criteria from the Canadian C-Spine Rule [[clinical prediction rule]]: <ref name="pmid14695411">{{cite journal |author=Stiell IG, Clement CM, McKnight RD, ''et al'' |title=The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma |journal=N. Engl. J. Med. |volume=349 |issue=26 |pages=2510–8 |year=2003 |month=December |pmid=14695411 |doi=10.1056/NEJMoa031375 |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=14695411&promo=ONFLNS19 |issn=}}</ref> | [[X-ray]] of the cervical spine should be considered, especially if the patient fulfills any criteria from the Canadian C-Spine Rule [[clinical prediction rule]]: <ref name="pmid14695411">{{cite journal |author=Stiell IG, Clement CM, McKnight RD, ''et al'' |title=The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma |journal=N. Engl. J. Med. |volume=349 |issue=26 |pages=2510–8 |year=2003 |month=December |pmid=14695411 |doi=10.1056/NEJMoa031375 |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=14695411&promo=ONFLNS19 |issn=}}</ref><ref>{{Cite journal | ||
| doi = 10.1136/bmj.b4146 | |||
| volume = 339 | |||
| issue = oct29_4 | |||
| pages = b4146 | |||
| last = Stiell | |||
| first = Ian G | |||
| coauthors = Catherine M Clement, Jeremy Grimshaw, Robert J Brison, Brian H Rowe, Michael J Schull, Jacques S Lee, Jamie Brehaut, R Douglas McKnight, Mary A Eisenhauer, Jonathan Dreyer, Eric Letovsky, Tim Rutledge, Iain MacPhail, Scott Ross, Amit Shah, Jeffrey J Perry, Brian R Holroyd, Urbain Ip, Howard Lesiuk, George A Wells | |||
| title = Implementation of the Canadian C-Spine Rule: prospective 12 centre cluster randomised trial | |||
| journal = BMJ | |||
| accessdate = 2009-11-05 | |||
| date = 2009-10-29 | |||
| url = http://www.bmj.com/cgi/content/abstract/339/oct29_4/b4146 | |||
}}</ref> | |||
* Age 65 years or more | * Age 65 years or more | ||
* [[Paresthesia]]s in extremities | * [[Paresthesia]]s in extremities | ||
Revision as of 22:15, 4 November 2009
In medicine, neck injuries are "general or unspecified injuries to the neck. It includes injuries to the skin, muscles, and other soft tissues of the neck.'[1]
Diagnosis
X-ray of the cervical spine should be considered, especially if the patient fulfills any criteria from the Canadian C-Spine Rule clinical prediction rule: [2][3]
- Age 65 years or more
- Paresthesias in extremities
- Dangerous fall ("elevation >=3 ft or 5 stairs; an axial load to the head (e.g., diving); a motor vehicle collision at high speed (>100 km/hr) or with rollover or ejection; a collision involving a motorized recreational vehicle; or a bicycle collision")
- Inability to rotate the neck 45° to the right and left
- Only test if "simple rear-end motor vehicle collision, sitting position in ED, ambulatory at any time since injury, delayed onset of neck pain, or absence of midline C-spine tenderness"[4]
- Glasgow Coma Scale less than 15 (the Canadian C-Spine Rule was only designed for alert patients)
References
- ↑ Anonymous (2024), Neck injury (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Stiell IG, Clement CM, McKnight RD, et al (December 2003). "The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma". N. Engl. J. Med. 349 (26): 2510–8. DOI:10.1056/NEJMoa031375. PMID 14695411. Research Blogging.
- ↑ Stiell, Ian G; Catherine M Clement, Jeremy Grimshaw, Robert J Brison, Brian H Rowe, Michael J Schull, Jacques S Lee, Jamie Brehaut, R Douglas McKnight, Mary A Eisenhauer, Jonathan Dreyer, Eric Letovsky, Tim Rutledge, Iain MacPhail, Scott Ross, Amit Shah, Jeffrey J Perry, Brian R Holroyd, Urbain Ip, Howard Lesiuk, George A Wells (2009-10-29). "Implementation of the Canadian C-Spine Rule: prospective 12 centre cluster randomised trial". BMJ 339 (oct29_4): b4146. DOI:10.1136/bmj.b4146. Retrieved on 2009-11-05. Research Blogging.
- ↑ Stiell IG, Wells GA, Vandemheen KL, et al (October 2001). "The Canadian C-spine rule for radiography in alert and stable trauma patients". JAMA 286 (15): 1841–8. PMID 11597285. [e]