Neck injury: Difference between revisions
Jump to navigation
Jump to search
imported>Robert Badgett m (→Diagnosis) |
imported>Meg Taylor (subpages) |
||
| Line 1: | Line 1: | ||
{{subpages}} | |||
In [[medicine]], '''neck injuries''' are "general or unspecified injuries to the neck. It includes injuries to the skin, muscles, and other soft tissues of the neck.'<ref>{{MeSH}}</ref> | In [[medicine]], '''neck injuries''' are "general or unspecified injuries to the neck. It includes injuries to the skin, muscles, and other soft tissues of the neck.'<ref>{{MeSH}}</ref> | ||
Revision as of 09:00, 30 September 2009
In medicine, neck injuries are "general or unspecified injuries to the neck. It includes injuries to the skin, muscles, and other soft tissues of the neck.'[1]
Diagnosis
X-ray of the cervical spine should be considered, especially if the patient fulfills any criteria from the Canadian C-Spine Rule clinical prediction rule: [2]
- Age 65 years or more
- Paresthesias in extremities
- Dangerous fall ("elevation >=3 ft or 5 stairs; an axial load to the head (e.g., diving); a motor vehicle collision at high speed (>100 km/hr) or with rollover or ejection; a collision involving a motorized recreational vehicle; or a bicycle collision")
- Inability to rotate the neck 45° to the right and left
- Only test if "simple rear-end motor vehicle collision, sitting position in ED, ambulatory at any time since injury, delayed onset of neck pain, or absence of midline C-spine tenderness"[3]
- Glasgow Coma Scale less than 15 (the Canadian C-Spine Rule was only designed for alert patients)
References
- ↑ Anonymous (2024), Neck injury (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Stiell IG, Clement CM, McKnight RD, et al (December 2003). "The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma". N. Engl. J. Med. 349 (26): 2510–8. DOI:10.1056/NEJMoa031375. PMID 14695411. Research Blogging.
- ↑ Stiell IG, Wells GA, Vandemheen KL, et al (October 2001). "The Canadian C-spine rule for radiography in alert and stable trauma patients". JAMA 286 (15): 1841–8. PMID 11597285. [e]