Annals of Emergency Medicine Journal Club. Journal club: clinical prediction rules.

Barrett TW, Schriger DL
Ann Emerg Med. 2009 54 (5): 672-3

PMID: 19853780 · DOI:10.1016/j.annemergmed.2009.09.015

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.

MeSH Terms (8)

Editorial Policies Emergency Medicine Humans Journal Impact Factor Periodicals as Topic Predictive Value of Tests Quality Control United States

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