Participants 11 824 alert and stable adults presenting with blunt trauma to the head or neck at one of 12 hospitals. Setting University and community emergency departments in Canada. Objective To evaluate the effectiveness of an active strategy to implement the validated Canadian C-Spine Rule into multiple emergency departments.ĭesign Matched pair cluster randomised trial. Correspondence to: I G Stiell istiellohri.ca.9Department of Emergency Medicine, University of British Columbia, Vancouver, Canada.8Division of Emergency Medicine, University of Western Ontario, London, Canada.7Division of Emergency Medicine, University of Toronto, Canada.6Department of Emergency Medicine, Queen’s University, Kingston, Canada.5Department of Emergency Medicine, University of Alberta, Edmonton, Canada.4Clinical Epidemiology Program, Ottawa Hospital Research Institute,.3Division of Neurosurgery, University of Ottawa, Canada.2Department of Medicine, University of Ottawa, Canada.
Catherine M Clement, research program manager 4,.Ian G Stiell, professor and chair 1, senior scientist 4,.His one great achievement is being the father of three amazing children. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of , the RAGE podcast, the Resuscitology course, and the SMACC conference. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health.
#Canadian c spine rules professional#
He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.Īfter finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. > High risk injury or neurological deficit -> MRIĬhris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. (4) Formal radiologist + Orthopaedic/Neurosurgical expert opinion (3) CT c-spine (high resolution, 1mm slices with sagittal reconstructions) 3 view xrays + CT (high resolution, 1.5-2mm slices with sagittal reconstructions) misses mechanism of injury.lateral c-spine, AP, PEG, swimmers (oblique views) still misses 10% and may displace injuries!.lateral c-spine, AP and PEG misses 10% of injuries (25-50% of studies being inadequate).lateral c-spine only misses 15% of injuries.c-spine xrays + CT + an awake patient who can be examined based on ATLS guidelines.Removal of hard collar desirable for a number of reasons: until cleared patients must be immobilized (hard collar, in-line stabilisation, log rolling).in the patient with TBI clinical clearance is not an option.can be cleared clinically and/or radiologically.5-10% of severe TBI have an associated unstable cervical fracture.