Annals of Emergency Medicine Journal Club. Journal club: clinical prediction rules.

Abstract:

:WHAT IS ALREADY KNOWN ON THIS TOPIC: Previous out-of-hospital studies indicate that selective spinal immobilization may miss patients with cervical injury. WHAT QUESTION THIS STUDY ADDRESSED: Can paramedics apply the Canadian C-Spine Rule in alert, stable, cooperative, blunt-trauma patients to reserve spinal immobilization for high-risk patients while avoiding immobilization for low-risk patients? WHAT THIS STUDY ADDS TO OUR KNOWLEDGE: In this 1,949-patient cohort, paramedics achieved 100% sensitivity and 38% specificity for important cervical fractures. HOW THIS MIGHT CHANGE CLINICAL PRACTICE: Use of the Canadian C-spine Rule by paramedics may safely avoid unnecessary spinal immobilization.

journal_name

Ann Emerg Med

authors

Barrett TW,Schriger DL

doi

10.1016/j.annemergmed.2009.09.015

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

672-3

issue

5

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(09)01553-4

journal_volume

54

pub_type

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