C Spine Compromise

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Last updated 3:00 PM on 9/17/26
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24 Terms

1
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  • 65 ≥ 16 yo

  • GCS of 15

  • normal vitals

  • injury within 48 hours

  • blunt neck trauma MOI

  • no acute paralysis

  • no known vertebral disease

  • not previously evaluated for same injury

  • not pregnant


Canadian C-spine rules

2
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90-100%

sensitivity of Canadian C-Spine Rules

3
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1-77%

specificity of Canadian C-Spine Rules

4
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  • age ≥ 65

  • dangerous mechanism

  • paresthesia in extremities


high risk factors for Canadian C-Spine rules

5
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  • simple rear-end MVC

  • delated onset of neck pain

  • sitting position in ED

  • ambulatory at any time

  • absence of C-spine tenderness


low risk factors for Canadian C-Spine Rules

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ROM to check with Canadian C-spine rules

able to rotate neck 45° left and right

7
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  • focal neurologic deficit present

  • midline spinal tenderness present

  • altered LOC

  • intoxication present

  • distracting injury present


National Emergency X-Radiography Utilization Study (NEXUS) Criteria

8
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  • focal neurologic deficit present

  • midline spinal tenderness present

  • altered LOC

  • intoxication present

  • distracting injury present


National Emergency X-Radiography Utilization Study (NEXUS) Criteria (positive if ANY are present)

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2-46%

NEXUS criteria specificity

10
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83-100%

NEXUS criteria sensitivity

11
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  • head squeeze

  • trap squeeze

  • bilateral mastoid grip

  • collar method


C-spine stabilization techniques

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  • non football equipment (ex LAX, hockey)

  • ill-fitting equipment

  • familiarity with equipment

  • number of rescuers


equipment considerations for cervical spine injuries

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trap squeeze method

name the c-spine grip

<p>name the c-spine grip</p>
14
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collar method

name the c-spine grip

<p>name the c-spine grip</p>
15
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bilateral mastoid grip

name the c-spine grip

<p>name the c-spine grip</p>
16
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collar method

name the c-spine grip

<p>name the c-spine grip</p>
17
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bilateral mastoid grip

name the c-spine grip

<p>name the c-spine grip</p>
18
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head squeeze

name the c-spine grip

<p>name the c-spine grip</p>
19
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8 person lift

best technique for transferring patient with a spine injury in supine position

20
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prone log-roll pull

best technique for transferring patient with a spine injury in prone position

21
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3

number of people needed for scoop stretcher

22
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2

number of rescuers needed for facemask/helmet removal

23
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2

number of rescuers needed for equipment removal

24
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