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There are two main algorithms, the Canadian C-spine rule and NEXUS, which are used to decide who requires cervical spine imaging via CT scan [6] after blunt trauma, and who can be cleared without imaging. [4] The Canadian C-spine rule appears to have greater sensitivity and specificity (i.e. fewer false positives and false negatives). [17]
A 64-slice CT with reconstructions does not entirely rule out ligamentous injury leading to instability, but is a practical means of identifying the majority of C-spine injuries in obtunded patients. MR C-spine has frequent false-positives, limiting its usefulness. [citation needed] In these cases, a consultation with a Spine Surgery specialist ...
A medical history and physical examination can be sufficient in clearing the cervical spine.Notable clinical prediction rules to determine which patients need medical imaging are Canadian C-spine rule and the National Emergency X-Radiography Utilization Study (NEXUS).
In a study from Norway the most common cause was falls and the relative incidence of cervical spine fracture increased significantly with age. [ 1 ] Sports that involve violent physical contact carry a risk of cervical fracture, including American football , association football (especially the goalkeeper ), ice hockey , rugby , and wrestling .
NICE received referrals for social care guidance from the Department of Health and the Department for Education, and commission the guidance from the NCCSC. NICE, along with the NCCSC, carried out a scoping exercise with a scoping group and with input from key stakeholders, at both a workshop and a public consultation, to ensure the guidance to ...
For more than two decades, Madison Vaughan has built a sweet relationship with her longtime mailman, Tim, highlighting the importance of community
“But they really are having a comeback for people, so that's … nice for them,” she quips. With the premiere of “The Simple Life” in 2003 on Fox, Hilton — the heiress to the eponymous ...
From January 2008 to December 2012, if you bought shares in companies when Jacquelyn Ward joined the board, and sold them when he left, you would have a -15.9 percent return on your investment, compared to a -2.8 percent return from the S&P 500.