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Spine
intermediate
X-Type

Cervical Spine Clearance

Spine Trauma

A 35-year-old man is brought to the emergency department after a motor vehicle collision. He is alert and oriented, complaining of mild neck discomfort. He has no neurological deficits, no midline cervical tenderness, no distracting injuries, and is not intoxicated. Initial trauma workup is otherwise unremarkable. Regarding cervical spine clearance in trauma:

Mark each as TRUE or FALSE

A

Clinical clearance rules (NEXUS, Canadian C-Spine Rule) allow cervical spine clearance in alert, coo...

B

The Canadian C-Spine Rule is more specific than NEXUS; it first assesses high-risk factors (age grea...

C

All trauma patients require CT imaging of the cervical spine; clinical clearance rules are unreliabl...

D

CT is the imaging modality of choice when imaging is required (not plain radiographs); CT has 98-100...

E

Prolonged cervical collar use causes complications including pressure sores, dysphagia, increased in...

Answer the questions to see explanations

Click T (True) or F (False) for each option