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Cervical Spine Injury in Blunt Trauma: Age and Clinical Exam as Predictors of Clinically Significant Injuries2017

Type: New Practice Management Guideline (PMG)
Category: Trauma
Committee Liaison: John J. Como, MD, MPH


Team leader(s)

This guideline is being developed to assist physicians in the management of blunt trauma patients with possible cervical spine injuries. This guideline will propose a system to delineate those which are in need of cervical spine imaging versus clinical clearance alone based on age, mechanism and clinical exam findings.

PICOs
1) Should adult patients age < 55 years with a clinically reliable exam, no signs or symptoms related to blunt cervical spine injury, undergo clinical examination alone vs routine CT of the cervical spine to exclude clinically significant cervical spine injury?

2) Should patients age >/= 55 years with a clinically reliable exam, no signs or symptoms related to blunt cervical spine injury, undergo clinical examination alone vs routine CT of the cervical spine to exclude clinically significant cervical spine injury?

Working Group Members
Sofya Asfaw, MD
Nikolay Bugaev, MD
Alistair J. Chapman, MD
John Como, MD
Chris Dodgion, MD
Dennis Kim, MD
Amy McDonald, MD
Kaushik Mukherjee, MD
Kartik Prabhakaran, MD
Bryce Robinson, MD
Brian Yorkgitis, DO




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Eastern Association for the Surgery of Trauma

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