Validation of the Canadian c-spine rule in the UK emergency department setting

Emergency Medicine Journal

Volumn 28, Issue 10, 2011, Pages 873-876

  Coffey, Frank ^a   Hewitt, Susanne ^b   Stiell, Ian ^c   Howarth, Nick ^b   Miller, Phil ^a   Clement, Cathy ^e   Emberton, Paul ^d   Jabbar, Abdul ^a  

^a QUEEN S MEDICAL CENTRE   (United Kingdom)

^b DERBY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^c UNIVERSITY OF OTTAWA   (Canada)

^d NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST   (United Kingdom)

^e OTTAWA HOSPITAL RESEARCH INSTITUTE   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CERVICAL SPINE; CERVICAL SPINE RADIOGRAPHY; CERVICAL SPINE RULE; EMERGENCY WARD; FEMALE; HOSPITAL ANXIETY AND DEPRESSION SCALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL EDUCATION; MULTICENTER STUDY; PATIENT CARE; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROFESSIONAL PRACTICE; PROSPECTIVE STUDY; SPINE INJURY; SPINE RADIOGRAPHY; UNITED KINGDOM; X RAY FILM;

ACUTE DISEASE; ADULT; CERVICAL VERTEBRAE; DECISION SUPPORT TECHNIQUES; EMERGENCY MEDICINE; EMERGENCY SERVICE, HOSPITAL; FEMALE; GREAT BRITAIN; HUMANS; MALE; OBSERVER VARIATION; REPRODUCIBILITY OF RESULTS; WOUNDS, NONPENETRATING;

EID: 80052967634     PISSN: 14720205     EISSN: 14720213     Source Type: Journal    
DOI: 10.1136/emj.2009.089508     Document Type: Article

References (15)

1. Maurice S, Brown S, Robertson C, et al. The effect of introducing guidelines for cervical spine radiographs in the accident and emergency department. J Accid Emerg Med 1996;13:38-40.
2. Stiell IG. Clinical decision rules in the emergency department. CMAJ 2000;163:1465-6.
3. Tandeter HB, Shvartzman P. Acute ankle injuries: clinical decision rules for radiographs. Am Fam Physician 1997;55:2721-28. (Pubitemid 27260048)
4. Stiell I, Wells G, Vandemheen K. Variation in emergency department use of cervical spine radiography for alert, stable trauma patients. CMAJ 1997;156:1537-44. (Pubitemid 27254336)
5. Hoffman JR, Wolfson AB, Todd K, et al. Selective cervical spine radiography in blunt trauma: methodology of the national emergency X-radiography utilization study (NEXUS). Ann Emerg Med 1998;32:461-9. (Pubitemid 28495776)
6. Stiell I, Wells G, Vandemheen K, et al. The Canadian c-spine rule for radiography in alert and stable trauma patients. JAMA 2001;286:1841.
7. Stiell IG, Clement CM, McKnight RD, et al. The Canadian c-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med 2003;349:2510-18. (Pubitemid 38010077)
8. Stiell IG, Greenberg GH, McKnight RD, et al. Decision rules for the use of radiography in acute ankle injuries. Refinement and prospective validation. JAMA 1993;269:1127-32.
9. Stiell IG, Wells GA, McDowell I, et al. Use of radiography in acute knee injuries: need for clinical decision rules. Acad Emerg Med 1995;2:966-73.
10. Stiell IG, Wells GA. Methological standards for the development of clinical decision rules in emergency medicine. Ann Emerg Med 1999;33:437-47. (Pubitemid 29157570)
11. Vandemheen K, Stiell IG, Brison R, et al. Validity evaluation of the cervical spine injury proxy outcome assessment tool in the CCC study. Acad Emerg Med 1999;6:434.
12. Stiell IG, Clement MC, Grimshaw J, et al. Implementation of the Canadian c-spine rule: prospective 12 centre cluster randomised trial. BMJ 2009;339:b4146.
13. NICE. Head injury: triage, assessment, investigation and early management of head injury in infants, children and adults. Clinical Guideline 4. Clinical Guidlines. London: NICE, 2003.
14. Stiell IG, Wells GA, McDowell I, et al. Use of radiography in acute knee injuries: need for clinical decision rules. Acad Emerg Med 1995;2:966-73.
15. Stiell IG, Grimshaw J, Wells G, et al. A matched-pair cluster design study protocol to evaluate implementation of the Canadian C-spine rule in hospital emergency departments: phase III. Implement Sci 2007;2:4.