A platform for research: civil engineering, architecture and urbanism
A platform for research: civil engineering, architecture and urbanism
Application of the Canadian C-Spine rule and nexus low criteria and results of cervical spine radiography in emergency condition
Introduction: the Canadian C Spine Rule (CCR) and the National Emergency X-Radiography Utilization Study (Nexus) low criteria are well accepted as guide to help physician in case of cervical blunt trauma. Methods: we aimed to evaluate retrospectively the application of these recommendations in our emergency department. Secondly we analyzed the quality of cervical spine radiography (CSR) in an emergency setting. Results: 281 patients with cervical blunt trauma were analyzed retrospectively. The CCR and the NEXUS rules were respected in 91.2% and 96.8% of cases respectively. No lesions were found in 96.4% of patient. A lesion was present in 1.1% of patient and suspected in 2.5% of patient. The quality of CSR was adequate in only 37.7% of patient. The poor quality of CSR was due either to the lack of C7 vertebrae visualization in 64.6% or other lower vertebrae in 28%. Other causes included the absence of open mouth view (8%), the absence C1 vertebrae visualization (3.4%), artifact in 2.3% and the absence of lateral view in 0.6% of patient. Conclusion: CCR and NEXUS are widely used in our emergency department. The high rate of inadequate CSR reinforces the debate about it’s utility in emergency condition.
Application of the Canadian C-Spine rule and nexus low criteria and results of cervical spine radiography in emergency condition
Introduction: the Canadian C Spine Rule (CCR) and the National Emergency X-Radiography Utilization Study (Nexus) low criteria are well accepted as guide to help physician in case of cervical blunt trauma. Methods: we aimed to evaluate retrospectively the application of these recommendations in our emergency department. Secondly we analyzed the quality of cervical spine radiography (CSR) in an emergency setting. Results: 281 patients with cervical blunt trauma were analyzed retrospectively. The CCR and the NEXUS rules were respected in 91.2% and 96.8% of cases respectively. No lesions were found in 96.4% of patient. A lesion was present in 1.1% of patient and suspected in 2.5% of patient. The quality of CSR was adequate in only 37.7% of patient. The poor quality of CSR was due either to the lack of C7 vertebrae visualization in 64.6% or other lower vertebrae in 28%. Other causes included the absence of open mouth view (8%), the absence C1 vertebrae visualization (3.4%), artifact in 2.3% and the absence of lateral view in 0.6% of patient. Conclusion: CCR and NEXUS are widely used in our emergency department. The high rate of inadequate CSR reinforces the debate about it’s utility in emergency condition.
Application of the Canadian C-Spine rule and nexus low criteria and results of cervical spine radiography in emergency condition
Ngatchou, William (author) / Beirnaert, Jeanne (author) / Lemogoum, Daniel (author) / Bouland, Cyril (author) / Youatou, Pierre (author) / Ramadan, Ahmed Sabry (author) / Sontou, Regis (author) / Bol Alima, Maimouna (author) / Plumaker, Alain (author) / Guimfacq, Virginie (author)
2018-01-01
Pan African Medical Journal, Vol. 30, no.30, p. 157 (2018)
Article (Journal)
Electronic Resource
English
DDC:
710
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