Journal: Canadian C-Spine

Author:  Dr. Keya Patel

Background

Each year, more than 1 million patients are treated in the emergency department for blunt trauma and potential C-spine injury. Cervical CT remains the mainstay of imaging in assessing for injury. Here, we review the Canadian C-spine Rule in determining the need for advanced imaging such as CT.

Journal: PECARN Head CT Rule

PECARN Head CT Rule

Dr. Brian Yu did a great 5-minute summary on the PECARN head CT Rule that was published in 2009. It’s an ambitious study that involved 25 emergency departments and included 42,412 patients under the age of 18 years who presented with blunt head trauma. It further risk stratified these patients into 2 major cohorts of <2 years of age and 2-18 years of age. It excluded patients with trivial injury, penetrating trauma, neurologic history, and those with prior imaging. The outcomes this study aimed for were clinically important findings including death, need for neurosurgical intervention, intubation >24 hours, and admission >2 nights. 

Penetrating Neck Trauma

Here is an application of the method we use to approach trauma, namely penetrating trauma to the neck. These videos in particular, you will find helpful on your trauma simulation day. Here are some important questions to ask yourself while watching: What are the boundaries of the zones of the neck and why do they