Clinical decision rules in the emergency department

Stiell, Ian G.
November 2000
CMAJ: Canadian Medical Association Journal;11/28/2000, Vol. 163 Issue 11, p1465
Academic Journal
Comments on clinical decision rules in the emergency department. Use of computed tomography (CT) for minor head injuries; Use of cervical spine radiography for trauma patients; Review of computed tomography and cervical spine radiography procedures.


Related Articles

  • In vitro 3D-kinematics of the upper cervical spine: helical axis and simulation for axial rotation and flexion extension. Dugailly, Pierre-Michel; Sobczak, Stéphane; Sholukha, Victor; Van Sint Jan, Serge; Salvia, Patrick; Feipel, Véronique; Rooze, Marcel // Surgical & Radiologic Anatomy;Feb2010, Vol. 32 Issue 2, p141 

    Registration of 3D-anatomical model and kinematics data is reported to be an accurate method to provide 3D-joint simulation. We applied this approach to discrete kinematics analysis of upper cervical spine (UCS) during axial rotation (AR) and flexion extension (FE) to create anatomical models...

  • Comparison of different patient positioning strategies to minimize shoulder girdle artifacts in head and neck CT. Wirth, Stefan; Meindl, Thomas; Treitl, Marcus; Pfeifer, Klaus-Jürgen; Reiser, Maximilian; Pfeifer, Klaus-Jürgen // European Radiology;Aug2006, Vol. 16 Issue 8, p1757 

    The purpose of this study was to analyze different patient positioning strategies for minimizing artifacts of the shoulder girdle in head and neck CT. Standardized CT examinations of three positioning groups were compared (P: patients pushed their shoulders downwards; D: similar optimization by...

  • ‘Clearing’ the cervical spine in the unconscious trauma patient. Blackham, Julian; Benger, Jonathan // Trauma;01/01/2011, Vol. 13 Issue 1, p65 

    This is a systemic review of the published evidence regarding cervical spine management in unconscious trauma patients. We examine the literature in the following sections: use of plain radiography; use of flexion/extenson views; use of computed tomography; use of magnetic resonance imaging. We...

  • Clearing the cervical spine. Dunn, Robert // CME: Continuing Medical Education;Sep2011, Vol. 29 Issue 9, p373 

    The article offers diagnostic guides to rule out cervical spine injury in trauma cases. It suggests that if cervical spine injury is suspected, x-ray should be requested with a minimum of three views, antero-posterior, lateral and open mouth. Should there be poor visualization on x-ray, computed...

  • Cervical vertebral column morphology in patients with obstructive sleep apnoea assessed using lateral cephalograms and cone beam CT. A comparative study. Sonnesen, L.; Jensen, K. E.; Petersson, A. R.; Petri, N.; Berg, S.; Svanholt, P. // Dentomaxillofacial Radiology;2013, Vol. 42 Issue 6, p1 

    Objectives: Few studies have described morphological deviations in obstructive sleep apnoea (OSA) patients on two-dimensional (2D) lateral cephalograms, and the reliability of 2D radiographs has been discussed. The objective is to describe the morphology of the cervical vertebral column on cone...

  • A Comparison of Flexion and Extension Radiographs with Computed Tomography of the Cervical Spine in Blunt Trauma. Goodnight, Travis J.; Helmer, Stephen D.; Dort, Jonathan M.; Nold, R. Joseph; Smith, R. Stephen // American Surgeon;Sep2008, Vol. 74 Issue 9, p855 

    The purpose of this study was to compare flexion and extension (F/E) cervical radiographs with CT of the cervical spine in patients sustaining blunt trauma for the evaluation of ligamentous injury. A retrospective chart review of 2 years duration at an American College of Surgeons-verified Level...

  • Cervical spine clearance in trauma patients. Ackland, Helen M.; Cameron, Peter A. // Indian Journal of Neurotrauma;Nov2012, Vol. 9 Issue 2, p79 

    The article examines the results of various studies related to cervical spine clearance. According to research comparing National Emergency X-radiography Utilisation (NEXUS) and Canadian C-spine Rule(CCR) criteria with computed tomography (CT) results, clinical examination alone is inadequate in...

  • Expandable titanium cages for anterior column cervical reconstruction and their effect on sagittal profile: a review of 48 cases. Waschke, Albrecht; Kaczor, Szymon; Walter, Jan; Duenisch, Pedro; Kalff, Rolf; Ewald, Christian // Acta Neurochirurgica;May2013, Vol. 155 Issue 5, p801 

    Background: Expandable cervical cages have been utilised successfully to reconstruct the cervical spine for various conditions. However, to date there are only limited data on their influence on cervical sagittal profile. In this retrospective study, we present our experience with performing...

  • Cervical Foraminal Foreign Object. Eser, Olcay; Haktanır, Alpay; Boyacı, Mehmet; Karavelioglu, Ergun // European Journal of General Medicine;2012, Vol. 9 Issue 3, p201 

    We report a rare case in which a metallic foreign object migrated to cervical intervertebral foramina. Only two cases have been reported.Plain films films and Computed Tomography of the cervical spine showed a foraminal metallic object.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics