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Here’s a quick #tweetorial on Criteria for performing a CT cervical spine scan in adults
NICE guideline 176 nice.org.uk/guidance/cg176…
@MedicsAcademy
Are you aware of the criteria for performing a CT c-spine following trauma?
Here’s a quick #tweetorial on Criteria for performing a CT cervical spine scan in adults
NICE guideline 176 nice.org.uk/guidance/cg176…
@MedicsAcademy
Are you aware of the criteria for performing a CT c-spine following trauma?
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For adults who have sustained a head injury and have any of the following risk factors, perform a CT cervical spine scan within 1 hour of the risk factor being identified:
For adults who have sustained a head injury and have any of the following risk factors, perform a CT cervical spine scan within 1 hour of the risk factor being identified:
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GCS <13 on initial assessment
GCS <13 on initial assessment
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Has the patient has been intubated? It is much harder to assess the patient clinically, therefore CT imaging is vital
Has the patient has been intubated? It is much harder to assess the patient clinically, therefore CT imaging is vital
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If plain x-rays have been used – is there suspicion of an injury? Or, if you can’t get the desired view on a plain X-ray, you should consider CT
If plain x-rays have been used – is there suspicion of an injury? Or, if you can’t get the desired view on a plain X-ray, you should consider CT
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If the patient is going to have surgery and you need a definitive diagnosis so that in-line stabilisation can be maintained
If the patient is going to have surgery and you need a definitive diagnosis so that in-line stabilisation can be maintained
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If the patient is alert and stable but there is a suspicion of c-spine injury, ask yourself the following:
If the patient is alert and stable but there is a suspicion of c-spine injury, ask yourself the following:
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Are they over 65 years old?
Are they over 65 years old?
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Was there a dangerous mechanism of injury? This might include:
-fall from a height 1 metre
-an axial load to the head
-Diving
-high speed motor vehicle collision
-bicycle collision
Was there a dangerous mechanism of injury? This might include:
-fall from a height 1 metre
-an axial load to the head
-Diving
-high speed motor vehicle collision
-bicycle collision
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Is there any focal neurological deficit or parasthesia?
Is there any focal neurological deficit or parasthesia?
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Your friendly radiologist should provide a report within one hour of the scan being performed
Your friendly radiologist should provide a report within one hour of the scan being performed
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