{"id":608,"date":"2015-03-20T10:16:59","date_gmt":"2015-03-20T14:16:59","guid":{"rendered":"http:\/\/emeddoc.org\/?p=608"},"modified":"2015-03-20T10:23:10","modified_gmt":"2015-03-20T14:23:10","slug":"clearance-of-suspected-c-spine-injuries-in-obtunded-patient","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=608","title":{"rendered":"Clearance of suspected c-spine injuries in obtunded patient"},"content":{"rendered":"<div class=\"gmail_default\">Clearance of suspected c-spine injuries specifically in AMS is one of the challenging topics in trauma. How do you clear C-spine in obtunded\u00a0 patient? well, as you know there are 2 methods:\u00a0 MRI or\/and Flex-ex xray.There is a new study published in Annals of Internal Medicine in March:<br \/>\nCervical Spine Clearance in Obtunded Patients After Blunt Traumatic Injury: A Systematic Review<\/div>\n<p><!--more--><\/p>\n<div class=\"gmail_default\">They Reviewed 28 studies and 7 studies(1686 patients), with low risk of bias and well-interpreted, high-quality CT scans. Primary outcome of interest was clinically significant cervical spine injury missed by CT and detected by the confirmatory test. Their conclusion is:<br \/>\n&#8220;Cervical spine clearance in obtunded adults after blunt traumatic injury with negative results from a well-interpreted, high-quality CT scan is probably a safe and efficient practice.&#8221;<\/div>\n<div class=\"gmail_default\">But we have to appreciate 2 elements if this conclusion:<br \/>\n1. High-quality CT scan (1 to 3 mm)<br \/>\n2. A well-interpreted CT study read by radiologist attending<\/div>\n<div class=\"gmail_default\"><\/div>\n<div class=\"gmail_default\"><a href=\"http:\/\/annals.org\/article.aspx?articleid=2197180\">Link to article<\/a><\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Clearance of suspected c-spine injuries specifically in AMS is one of the challenging topics in trauma. How do you clear C-spine in obtunded\u00a0 patient? well, as you know there are 2 methods:\u00a0 MRI or\/and Flex-ex xray.There is a new study published in Annals of Internal Medicine in March: Cervical Spine Clearance in Obtunded Patients After [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13,14,15,16,24],"tags":[],"class_list":["post-608","post","type-post","status-publish","format-standard","hentry","category-pgy1","category-pgy2","category-pgy3","category-pgy4","category-trauma"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/608","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=608"}],"version-history":[{"count":2,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/608\/revisions"}],"predecessor-version":[{"id":610,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/608\/revisions\/610"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=608"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=608"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=608"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}