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Canadian C Spine Rules

The Canadian C-Spine Rules guide healthcare professionals in assessing neck injuries, reducing unnecessary imaging, and ensuring efficient, evidence-based patient care.

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By Russell Tan on Aug 2, 2025.

Fact Checked by Nate Lacson.

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Commonly asked questions

The Canadian C Spine Rule includes additional high-risk factors and evaluates the ability to rotate the neck, while Nexus Criteria focuses on the absence of specific clinical findings like tenderness and neurological deficits.

In emergency and clinical settings, the Canadian C Spine Rule can be applied by trained healthcare professionals, including physicians, nurses, and paramedics.

Cervical spine imaging should be avoided in patients who meet low-risk criteria according to clinical decision rules and have no signs of significant injury or neurological deficits.

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