Start with a free account for 3 free CME credits. Already a subscriber? Sign in.

Paper Chase 3: Tomographic Imaging of the Cervical Spine for Ground-Level Falls

Mike Weinstock, MD and Nate Finnerty, MD
00:00
06:01
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

In this study, the incidence of C-spine fracture was <1% and the application of either the NEXUS criteria or Canadian C spine Rule would reduce the imaging utilization by approximately 20%.

 

To view chapter written summaries, you need to subscribe.

Sign up today for full access to all episodes.

Richard H. -

Can you comment on C-spine X-rays and when, if ever, they are indicated for trauma vs a CT.
If you are concerned enough to get an X-ray, and it's negative (or positive) - doesn't that then obligate a CT?

Danielle F. -

I am a new NP in practice at an UC. I also utilize the NEXUS and Canadian rules but I find myself normally sending patients who meet the criteria (midline tenderness, high speed MVC/concerning mechanism of injury) to the ER to get a CT done vs using the X-ray I have in office. Although these rules help us to distinguish who needs imaging, what is the consensus for what that imaging should be? CT vs X-ray? Thanks for any input.

Mike W., MD -

Glad you asked - just recorded a detailed discussion of this topic - stay tuned for the intro on May UC RAP - thx!

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
You Broke It Where?? Full episode audio for MD edition 198:23 min - 93 MB - M4Ahippo Urgent Care RAP - March 2017 Summary 328 KB - PDF