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Emergency Medicine
Canadian C-Spine Rule
Determines need for cervical spine imaging in trauma
Input Parameters
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Age ≥65 years
*
Yes
No
Dangerous mechanism (fall ≥5 feet, axial load, MVC high speed, rollover, ejection, bicycle collision)
*
Yes
No
Paresthesias in extremities
*
Yes
No
Simple rear-end MVC
*
Yes
No
Sitting position in ED
*
Yes
No
Ambulatory at any time
*
Yes
No
Delayed onset of neck pain
*
Yes
No
Absence of midline C-spine tenderness
*
Yes
No
Able to actively rotate neck 45° left and right
*
Yes
No
Clinical Note (Optional)
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