What is needed for C-spine clearance?

Clearance of C-Spine: A clinical decision suggesting the absence of acute bone related, ligamentous and neurologic abnormalities of the cervical spine based on history, physical exam and/or negative radiologic studies. b. The goal is to clear the C-spine within one hour in these circumstances.

How do you manage C-spine injury?

Patients with suspected C-spine fracture are invariably managed in the pre-hospital setting with the application of a rigid brace to the C-spine (hard collar) in a neutral position to achieve cephalic immobilisation and keep the spinal column ‘in-line’ in order to prevent undue movement.

How do you stabilize the C-spine?

Stabilizing the cervical spine To prevent hyperextension of the head and neck, padding between the occiput and the board must be used in the vast majority of patients who are immobilized. Remember to immobilize the torso first, followed by the head and neck.

When do you Immobilise C spine?

ATLS guidelines1 for the management of a suspected cervical spine injury state that the neck should be immobilised at all times until a fracture or spinal cord injury has been excluded. Usually this entails immobilisation with a hard cervical collar, sand bags or bolsters, and tapes.

When is removing of cervical collar permissible?

The C collar can be removed in the unconscious or obtunded patients once the following criteria have been met: The attending radiologist has dictated a final report of the CT scan of the cervical spine. This final report has no cervical spine fracture or acute abnormality.

When is cervical clearance done?

Clinical clearance can be performed when the following criteria are met: the child is old enough to effectively communicate pain; the child is fully alert without evidence of intoxication or mental status change; no paraspinal or midline cervical tenderness is present; no evidence of a neurologic deficit or a history …

Can you clear a cervical spine with imaging alone?

Computed tomography alone may clear the cervical spine in obtunded blunt trauma patients: a prospective evaluation of a revised protocol.

When do you Stabilise C-spine?

MANUAL IN-LINE STABILISATION (MILS) Cervical spine protection is indicated in the following trauma settings: Neck pain or neurological symptoms (OR58 for focal neurological deficit) Altered level of consciousness (OR14 for decreased level of consciousness) Significant blunt injury above the level of the clavicles (OR8.

When do you Immobilise C-spine?

How serious is a cervical spine injury?

Cervical spinal cord injuries are the most severe of all spinal cord injuries and may affect one or both sides of the body. The higher up in the spine that the injury occurs, the more severe the potential outcome. Some cervical spinal cord injuries are severe enough to result in death.

How do you immobilize C-spine?

The traditional ATLS teaching for adequate spinal immobilization of a patient in a major trauma situation is a well fitted hard collar with blocks and tape to secure the cervical spine in addition to a backboard to protect the rest of the spine. other devices currently in use are scoop stretcher and vacuum splint.