Pediatric Emergency Care Applied Research Network C-spine Injury Rule algorithm

This algorithm is based upon the Pediatric Emergency Care Applied Research Network C-spine imaging rule that provides the approach to C-spine imaging in otherwise healthy children with blunt trauma. It is intended to be used with UpToDate topics and graphics. For more, refer to the evaluation and management of cervical spine injuries in children and adolescents.

CSI: cervical spine injury; C-spine: cervical spine; CT: computed tomography; GCS: Glasgow coma scale.

* Multidetector C-spine CT with sagittal and coronal reconstructions is the recommended study and may be combined with CT of head and other body regions as needed.

¶ Examples include basilar skull fracture; pneumothorax; pulmonary contusion; signs of liver, spleen, pancreas, or kidney injury; fracture of the axial skeleton, or pelvic fracture.

Δ C-spine plain radiographs include lateral, AP, and odontoid views.

Adapted from: Leonard JC, Harding M, Cook LJ, et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: A multicentre prospective observational study. Lancet Child Adolesc Health 2024; 8:482.

Graphic 145574 Version 2.0

خرید پکیج

Pediatric Emergency Care Applied Research Network C-spine Injury Rule algorithm