Facebook Pixel
Brookbush Institute Logo
Preview

Canadian C-Spine Rules

Learn the correct approach for assessing and treating cervical spine injuries with the Canadian C-Spine Rules from certified medical professionals. Get the complete guide to keeping your patients safe.

12 likes

Transcript

00:04 - 00:07This is Brenda The brookbush Institute in this video. I'm bringing
00:07 - 00:10you guys the Canadian sea spine rules. I'm gonna have my friend Sonya come out. She's
00:10 - 00:13gonna help me demonstrate this little clinical prediction
00:13 - 00:17rule that's going to help me decide whether I need to refer Sonya
00:16 - 00:19out for an x-ray now if
00:19 - 00:22I'm doing these Canadian sea spine rules chances are that Sonya's
00:22 - 00:25had some sort of acute injury that makes me think something
00:25 - 00:28potentially serious gonna happen to her neck. So I'm gonna have
00:28 - 00:31Sonya go ahead and turn towards me and here's how the CPR works
00:31 - 00:34right we have. Are you older than
00:34 - 00:3565 years?
00:36 - 00:39Which we'll get into in a second. Do they have midline pain?
00:39 - 00:43Do they have any neurological or cognitive
00:42 - 00:45symptoms? Right? Do
00:45 - 00:49they have fear moving their head? And
00:48 - 00:51were they in a distraction type injury?
00:52 - 00:55You guys got all that. These are one of those things that
00:55 - 00:58you probably should just write down keep on some sort of template inside of
00:58 - 01:02your examination portfolio and not necessarily memorize
01:01 - 01:04you won't use these like with every client that comes through
01:04 - 01:07the door. So I'm gonna try to take you guys through this interview
01:07 - 01:10and what it might look like right so I can go Sonya are
01:10 - 01:10you 65
01:11 - 01:14Now if they have their chart, like don't
01:14 - 01:17get yourself slapped like that's not I have I
01:17 - 01:20I know how old son you Sonia is we
01:20 - 01:24I've treated her before so I'm not gonna ask that question. I know you're no older
01:23 - 01:27than like 25, right? 25
01:26 - 01:2925. Okay, maybe for the
01:29 - 01:32second or third time in a row, but you know, all right.
01:32 - 01:35So we got your age. The next question. I might want to start going
01:35 - 01:38into is these cognitive and neurological impairments. So cognitive stuff
01:38 - 01:41you guys know like as soon as somebody doesn't know their name
01:41 - 01:44the date what time it is where they're at like those
01:44 - 01:47with some pretty serious stuff. You're gonna send somebody out for x-ray. Anyway,
01:47 - 01:50I trust that most of you guys have the common sense to do
01:50 - 01:53that. But also think towards all those neurological symptoms that we've talked
01:53 - 01:56about with like the vbi testing right
01:56 - 01:57or like
01:59 - 02:02myelopathy type symptoms like
02:02 - 02:05all of that stuff counts here. So, you know, are they having
02:05 - 02:09any changes in sensation coordination paresthesia or
02:09 - 02:11strength in their extremities?
02:11 - 02:14especially both extremities bilaterally
02:14 - 02:15or
02:16 - 02:20They're having upper and lower extremity symptoms
02:19 - 02:22that are neurological sounding
02:22 - 02:25that started with the cervical injury.
02:25 - 02:28Like all that stuff should just be like, okay red flag.
02:29 - 02:32I'm gonna go ahead and send you out for x-ray. The next
02:32 - 02:34thing I might ask is where is your pain?
02:35 - 02:37Right you go ahead and point to it for me.
02:38 - 02:41All right, and like she's pointing like right to midline. I'd be like, okay.
02:41 - 02:44Peace out Cub Scout your your head
02:44 - 02:47not to x-ray, right? This is not something that I want
02:47 - 02:50to treat without getting some sort of confirmation that the
02:50 - 02:52structures in her neck are.
02:53 - 02:56Good and that she's gonna do well in
02:56 - 02:59physical therapy. The next thing I might ask about is
02:59 - 03:03did she have some sort of distraction type
03:02 - 03:05injury, right? So it might ask the nature of
03:05 - 03:06injury. Like, how did you get injured?
03:07 - 03:10It's not correct. You were in a car wreck so car wrecks.
03:10 - 03:13Usually involve Whiplash. Whiplash is definitely a distraction type
03:13 - 03:13injury right that
03:14 - 03:17threat that throwing the head forward right boom.
03:17 - 03:20She's out to get an x-ray first before I start treating her.
03:21 - 03:24Now the last thing I want to ask is I'm
03:24 - 03:27going to give her some commands like hey turn your head as far as you can to the
03:27 - 03:27left.
03:28 - 03:30All right, turn your head as far as you can to the right.
03:31 - 03:32and if she hesitates
03:33 - 03:36Right. Have you guys ever seen what apprehension looks like
03:36 - 03:39or like anxiety? Looks like somebody who has like an unstable shoulder.
03:39 - 03:42Alright. So those of you guys have been in outpatient clinics
03:42 - 03:43for a while you get that person who like
03:44 - 03:47Like you go. Okay. Let me see how far you can move your shoulder and
03:47 - 03:47they do like
03:48 - 03:51this thing and then if you grab their shoulder stabilize it you
03:51 - 03:54can pull it back. So it's not a range of motion thing. It's more like
03:54 - 03:55a guarding thing.
03:56 - 03:59Do you know what that looks like imagine that with the
03:59 - 04:02neck, right? I tell her to go. Okay. Let me
04:02 - 04:04go ahead and see you turn your head to the left and she goes.
04:06 - 04:07Like you're gone.
04:09 - 04:12Okay, x-ray first, I don't know what's going on yet might
04:12 - 04:13not be serious.
04:14 - 04:16But we're definitely sending you for an x-ray.
04:16 - 04:17All right, so to repeat guys.
04:18 - 04:19We had age.
04:20 - 04:22neurological or cognitive impairments
04:22 - 04:25we had midline pain distraction type
04:25 - 04:28injury or fear on moving
04:28 - 04:30the neck on command.
04:31 - 04:31Any of those?
04:33 - 04:35You're going to get an x-ray.
04:35 - 04:37Before you're getting treated now.
04:38 - 04:41Just to kind of move into the pain
04:41 - 04:44science realm and maybe just good professional
04:44 - 04:47conduct and communication realm. Let me
04:47 - 04:50tell you what not to do. Holy cow go get an
04:50 - 04:50x-ray.
04:51 - 04:52Don't do that.
04:53 - 04:56The whole idea here is that we're getting an x-ray to
04:56 - 04:59be safe. It doesn't necessarily mean that there's
04:59 - 04:59a problem.
05:00 - 05:03Right, you guys might very well send somebody out
05:03 - 05:06with these c-spine rules, especially if they walked into your clinic,
05:06 - 05:09right if you guys are working an outpatient and they walked into
05:09 - 05:12your clinic and they didn't walk into the emergency room first.
05:13 - 05:15There's a good chance that this is a particularly serious just be like hey.
05:17 - 05:19you know before I start doing some of these more
05:20 - 05:24like aggressive techniques with your neck these more intense
05:23 - 05:26techniques with your neck. I'd like to be safe and
05:26 - 05:28send you for an x-ray first. Does that sound okay?
05:29 - 05:32All right better safe than sorry. That's that's
05:32 - 05:35all we're going to tell our patients. We don't have to go into anything more extreme
05:35 - 05:36than that.
05:37 - 05:40Alright guys, if you have any question about the Canadian sea spine rules,
05:40 - 05:43once again, just do me a favor write this down put this somewhere on
05:43 - 05:46a template stick on on the back of your clipboard if you have to
05:46 - 05:49because it'll be one of those things that's very easily forgotten
05:49 - 05:52when you haven't seen a cervical patient and a week
05:52 - 05:55or you know, you see a fruit cervical patients in a row,
05:55 - 05:58but they're all chronic and you know, you have no reason to use this
05:58 - 06:01just just write it down somewhere that you can look it up
06:01 - 06:04real quick and then you can go through this little interview process. If
06:04 - 06:06you guys have any questions leave them in the comments box below.

Comments

Guest

3 Certifications, 165+ Courses, 500+ videos, and so much more!

The Brookbush Institute (BI) continues to improve affordability, access, flexibility, and convenience to the highest-quality education.

The Bl is the only approved/accredited certification and continuing education course provider with a true monthly membership model (cancel anytime).

This reduces the initial cost of education to just 3-5% of comparable education, improving access to complete, continue, or just "try" education with low financial risk. Don't get fooled by great marketing to make a large purchase for potentially sub-optimal education. Become a member, and find out why we think this is the way education should be!


or
Sign Up with Email Address
Already Have an Account? Sign In