If none of the above, the C spine can be cleared clinically.

 

Definition of Neurologic deficit / AMS:

Definition of intoxicated:

Definition of distracting injury:

 

Steil et al. The Canadian C-Spine Rule versus the NEXUS Low-Risk Criteria in Patients with Trauma. NEJM. 2003. 349(26):2510-8.

 

Hoffman JR et al. Selective cervical spine radiography in blunt trauma: methodology of the National Emergency X-Radiography Utilization Study (NEXUS). Ann Emerg Med. 1998; 32(4): 461-9.