Annals of Emergency Medicine Journal Club. Journal club: clinical prediction rules.
prospective_cohort · Level II
Where this comes from
- Record sourced from PubMed, PMID 19853780.
- Also identified by DOI 10.1016/j.annemergmed.2009.09.015.
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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.
Medical subject headings
- Emergency Medicine
- Periodicals as Topic