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Search for Cervical Spine Injury in Emergency Medicine
Physician-authored summaries on the latest research on cervical spine injury, editorials on cervical spine injury, and perspectives on cervical spine injury - drawn from the top medical journals.
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You searched for: cervical spine injury in Emergency Medicine
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PECARN: Predictors of Pediatric Cervical Spine Injuries
- November 24, 2010
- Katherine Bakes, MD
- Emergency Medicine
Presence of one of eight variables predicts cervical spine injuries after blunt trauma in children.- Reviewing:
- Leonard JC et al., Ann Emerg Med 2010 Nov 1;:
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New Rule for C-Spine Imaging in Children Younger Than 3 Years
- October 23, 2009
- John A. Marx, MD, FAAEM
- Emergency Medicine
Approximately two thirds of patients could have forgone imaging if the rule had been applied.- Reviewing:
- Pieretti-Vanmarcke R et al., J Trauma 2009 Sep; 67:543.
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Intubation with C-Spine Immobilization: Trachlight vs. Fiber-Optic Scope
In 20 healthy patients without spine injury who were intubated with manual in-line stabilization, cervical spine movement was comparable with the two devices, but intubation was twice as fast with the Trachlight.- Reviewing:
- Houde BJ et al., Anesth Analg 2009 May; 108:1638.
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Should CT Be the Primary Imaging Method for Suspected C-Spine Injury in Children?
- March 20, 2009
- Jill M. Baren, MD, MBE, FACEP, FAAP
- Emergency Medicine
Unfortunately, this study at a single pediatric trauma center raises more questions than it answers.- Reviewing:
- Rana AR et al., J Pediatr Surg 2009 Jan; 44:151.
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Can Nurses Safely Apply C-Spine Rules?
- June 13, 2006
- Diane M. Birnbaumer, MD, FACEP
- Emergency Medicine
No significant injuries were missed, but the study is too small to provide a definitive answer.- Reviewing:
- Pitt E et al., Emerg Med J 2006 Mar; 23:214-5.
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Plain Radiography of the C-Spine: Are We Missing Something?
- March 28, 2006
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
Many patients with c-spine fractures identified by plain radiography had additional injuries that were detected only by CT.- Reviewing:
- Barrett TW et al., Ann Emerg Med 2006 Feb; 47:129-33.
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Lighted Stylet and GlideScope Reduce C-Spine Motion During Intubation
- October 25, 2005
- Ron M. Walls, MD, FRCPC, FACEP, FAAEM
- Emergency Medicine
To determine the safest method for intubating patients with unstable cervical spine injuries, investigators monitored cervical spine motion during different methods of intubation in noninjured, . . .- Reviewing:
- Turkstra TP et al., Anesth Analg 2005 Sep; 101:910-5.
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Lateral Plain Films vs. Helical CT for C-Spine Fracture: No Contest
- August 10, 2005
- John A. Marx, MD, FACEP
- Emergency Medicine
Unconscious blunt trauma patients are at greater risk for cervical spine injury than their conscious counterparts. These authors conducted a prospective study of a new . . .- Reviewing:
- Brohi K et al., J Trauma 2005 May; 58:897-901.
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MRI for Patients with Traumatic Cervical Spine Injury Without CT Abnormality
- December 22, 2011
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
Among trauma patients with midline cervical tenderness, those with advanced degenerative disease on computed tomography were at highest risk for discoligamentous injuries, some of which required surgery.- Reviewing:
- Ackland HM et al., Ann Emerg Med 2011 Dec; 58:521.
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Manual In-Line Stabilization Is Not Helpful in Cadavers with Unstable C-Spines
- August 14, 2009
- John A. Marx, MD, FAAEM
- Emergency Medicine
Movement of the unstable C-spine during intubation was similar with and without use of this currently recommended technique.- Reviewing:
- Turner CR et al., J Trauma 2009 Jul; 67:61.
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Is CT Plus MRI Better Than CT Alone for Cervical Spine Evaluation?
- May 16, 2008
- John A. Marx, MD, FAAEM, FACEP
- Emergency Medicine
These findings support the use of MRI in patients with unreliable neurologic exams.- Reviewing:
- Menaker J et al., J Trauma 2008 Apr; 64:898.
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C-Spine Motion Is Similar with Macintosh and Miller Blades
- January 25, 2008
- Ron M. Walls, MD, FRCPC, FACEP, FAAEM
- Emergency Medicine
The Miller causes less movement, but the difference is not enough to matter.- Reviewing:
- LeGrand SA et al., Anesthesiology 2007 Dec; 107:884.
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Is MRI Needed for Obtunded Trauma Patients with Normal Cervical CT Scans? Free
- October 26, 2007
- John A. Marx, MD, FAAEM, FACEP
- Emergency Medicine
One study says yes and another, no.- Reviewing:
- Como JJ et al., J Trauma 2007 Sep; 63:544. Sarani B et al., J Trauma 2007 Sep; 63:637.
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Intubating Patients with Cervical Spine Injury: Down Periscope!
With in-line stabilization, the Airtraq was faster and better than the Macintosh laryngoscope.- Reviewing:
- Maharaj CH et al., Anesthesiology 2007 Jul; 107:53-9.
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NEXUS Rule Is Less Accurate in Patients Evaluated by Trauma Team
- July 20, 2007
- John A. Marx, MD, FAAEM, FACEP
- Emergency Medicine
Inadequate attention to the cervical spine in patients with multiple injuries likely explains the poorer results.- Reviewing:
- Duane TM et al., J Trauma 2007 Jun; 62:1405-8.
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Does the Shikani Optical Stylet Reduce C-Spine Movement During Intubation?
Yes, but use of the device might somewhat lengthen time to intubation.- Reviewing:
- Turkstra TP et al., Can J Anesth 2007 Jun; 54:441-7.
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Ruling Out Bony and Ligamentous Cervical Injury in Obtunded Patients
- May 23, 2006
- John A. Marx, MD, FAAEM, FACEP
- Emergency Medicine
The combination of CT plus MRI shows promise.- Reviewing:
- Stassen NA et al., J Trauma 2006 Jan; 60:171-7.
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MRI vs. Helical-CT for Detecting Cervical Ligamentous Injury
- February 28, 2006
- John A. Marx, MD, FAAEM, FACEP
- Emergency Medicine
MRI is vastly superior to CT but less convenient in trauma patients.- Reviewing:
- Diaz JJ Jr et al., J Trauma 2005 Oct; 59:897-903.
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Does the Canadian C-Spine Rule Miss Unstable Injuries?
- May 11, 2005
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Mandatory use of the Canadian C-Spine Rule at one Australian hospital reduced x-ray ordering but not the amount of time that patients wore hard collars.- Reviewing:
- Kerr D et al., J Emerg Med 2005 Feb; 28:127-31.
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Intubation in C-Spine Injury: Is a Fiberoptic Stylet Better?
- April 13, 2005
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
Intubating patients who might have cervical spine injuries causes much consternation among emergency physicians. In a prospective, randomized study, researchers compared ease of intubation with . . .- Reviewing:
- Kihara S et al., Can J Anaesth 2005 Jan; 52:105-10.
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