Normal Exam C-Collar CT Abnormal Neck CT C-Spine Fx Normal Patient

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Presentation transcript:

Normal Exam C-Collar CT Abnormal Neck CT C-Spine Fx Normal Patient MRI C-Spine Normal Exam Pre-Hospital C-Collar CT Abnormal Neck CT C-Spine Fx Normal Patient Examinable A Yes C B No No Yes D E F G Prehospital indications for Spine Motion Restriction (SMR): blunt mechanism patients unless all the following are met (C-Collar not indicated for penetrating injuries) Reliable history and exam - mental status normal, no intoxicants/language barrier. No neurologic deficits, midline spine pain/tenderness, spine deformity. Passive ROM normal. Examinable: Mental status normal, no intoxicants/language barrier. Absence of injury that prevents reliable history and physical exam Normal Physical Exam No neurologic deficits, midline spine pain/tenderness, or spine deformity. High resolution (64Slice) CT scan with Multi-planar reconstructions. Screening CT as part of trauma Whole Body CT Normal age appropriate findings Radiology findings associated with ligamentous injuries i.e. soft tissue swelling, subluxation etc. C-Spine fracture. Refer to BCVI algorithm for CTA Option comfort collar for neck strain/sprain Maintain SMR, Spine consultation. Option to provide comfort collar for isolated spinous process fractures without spine consult NO Ligament Injury Ligament Injury H I Remove Collar Spine Consultation