Inclusion criteria: GCS 15, stable trauma patients

Any high-risk factor?

Yes → obtain C spine imaging.

No

Back

Any low-risk factor which allows safe ranging of neck?

Yes

No → obtain C spine imaging.

Back

Able to actively rotate neck 45° left/right?

No → obtain C spine imaging.

Yes → no radiography.

 

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