An evidenced-based approach to radiographic assessment of cervical spine injuries in the emergency department.
The modern approach to suspected cervical spine injuries is highly dependent on appropriate utilization of radiographic studies. Clinical decision rules have been developed for determination of those most likely to benefit from plain film studies, but there is confusion regarding those who should undergo computed tomography (CT) scanning. This case-based review highlights current available evidence and provides a framework to guide emergency medicine providers in the treatment of patients with trauma to the cervical spine.
Greenbaum
Jason
J
Wayne State University School of Medicine, Department of Emergency Medicine, Detroit Receiving Hospital-Emergency Medicine Residency, Detroit, Michigan 48201, USA.
Walters
Nathan
N
Levy
Phillip D
PD
D000063:Accidents, Traffic; D000328:Adult; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging* / Q000293:injuries*; D004636:Emergency Service, Hospital; D019317:Evidence-Based Medicine; D006801:Humans; D008297:Male; D017410:Practice Guidelines as Topic; D016103:Spinal Fractures / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed