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The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging:

  • age ≥65 years
  • dangerous mechanisms of injury, and
  • sensory neurologic deficit
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RACGP - Cervical spine – assessment following trauma
the patient is able to fully participate in clinical assessment. The Victorian State Trauma System Cervical Spine Acute Care Guideline recommends that pre-existing spinal disease should be considered as a potential precursor to injury.14 <span>The Canadian C-spine rule includes three high risk factors in alert patients that mandate cervical spine imaging: age ≥65 yearsdangerous mechanisms of injury, andsensory neurologic deficit (Figure 1). It includes five low risk factors allowing safe range of motion assessment: simple rear-end collisionsable to sitambulatatory at any timedelayed onset of neck paina


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