Cervical Spine Injuries

What this episode covers

<br /> Cervical Spine Injuries are fortunately rare in children. this episode is all about learning when to suspect them, how to immobilize the C-spine properly, and which imaging test to choose. It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. <br /> <br /> <br /> <br /> <a href="https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Furldefense.com%2Fv3%2F__https%3A%2Fwww.thelancet.com%2Fjournals%2Flanchi%2Farticle%2FPIIS2352-4642(24)00104-4%2Ffulltext__%3B!!NiUAmZJ8c1GNWg!TXHO4TrAETLKA4Kt0_TcGQTc9avNklWNtrcZYNpwzn8lePWzmC_gYJyXigBCkU1aZzakKffI0LFCx0IU64iX66ebGLrpmHEJL0w%24&amp;data=05%7C02%7CBrad.Sobolewski%40cchmc.org%7C54dc9757d3d642c3599c08dc818d32e1%7C680254d4278b4aa1aca8c2600f79c533%7C0%7C0%7C638527690935900600%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&amp;sdata=GyccBCuiceU7rKoU%2FRWgyVTvo22IQosS5%2BhxddGe5Q4%3D&amp;reserved=0">Check out the paper by Leonard et al. entitled “PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study” at Lancet Child &amp; Adolescent Health from Leonard et al here! </a><br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <a href="https://youtube.com/shorts/UciIc6cDhSQ">Maybe there&#8217;s a funky music video that will teach you how to clear the C-spine? </a><br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <a href="http://www.pwmblog.com" target="_blank" rel="noreferrer noopener">PEMBlog</a><br /> <br /> <br /> <br /> <a href="http://twitter.com/PEMTweets">@PEMTweets on&#8230; sigh &#8220;X&#8221; (Twitter)</a><br /> <br /> <br /> <br /> <a href="https://www.instagram.com/bradsobolewski/" target="_blank" rel="noreferrer noopener">My Instagram</a><br /> <br /> <br /> <br /> <a href="https://med-mastodon.com/@bradsobo" target="_blank" rel="noreferrer noopener">My Mastodon account @bradsobo</a><br /> <br /> <br /> <br /> References<br /> <br /> <br /> <br /> Leonard, J. C., Harding, M., Cook, L. J., Leonard, J. R., Adelgais, K. M., Ahmad, F. A., Browne, L. R., Burger, R. K., Chaudhari, P., Corwin, D. J., Glomb, N. W., Lee, L. K., Owusu-Ansah, S., Riney, L. C., Rogers, A. J., Rubalcava, D. M., Sapien, R. E., Szadkowski, M. A., Tzimenatos, L., Ward, C. E., Yen, K., Kuppermann, N. (2024). PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Lancet Child &amp; Adolescent Health. <a href="https://doi.org/10.1016/S2352-4642(24)00104-4">https://doi.org/10.1016/S2352-4642(24)00104-4</a>.<br /> <br /> <br /> <br /> Sasser SM, Hunt RC, Faul M, Sugerman D, Pearson WS, Dulski T, Wald MM, Jurkovich GJ, Newgard CD, Lerner EB; Centers for Disease Control and Prevention (CDC). Guidelines for field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2011. MMWR Recomm Rep. 2012 Jan 13;61(RR-1):1-20. PMID: 22237112.<br /> <br /> <br /> <br /> Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group. Cervical spine injury patterns in children. Pediatrics. 2014 M