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ACE Report #457
Ace Report Cover Trauma

Use of Canadian C-Spine Rule decreases unnecessary imaging, without missing injury

Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

Implementation of the Canadian C-Spine Rule: Prospective 12 centre cluster randomised trial

BMJ. 2009 Oct 29;339:b4146. doi: 10.1136/bmj.b4146.

Contributing Authors: IG Stiell CM Clement J Grimshaw RJ Brison BH Rowe MJ Schull JS Lee J Brehaut RD McKnight MA Eisenhauer J Dreyer E Letovsky T Rutledge I MacPhail S Ross A Shah JJ Perry BR Holroyd U Ip H Lesiuk GA Wells

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11,824 stable and alert patients presenting with blunt trauma to the head or neck took part in this matched pair cluster randomized trial. 12 hospitals were randomized to either implement the Canadian C-spine rule or to not implement this rule. This study evaluated the efficacy of the Canadian C-spine rule use in Canadian hospitals. The Canadian C-spine rule was able to successfully identify all c...

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