Canadian c spine rules trial#

Additionally, to compare these recommendations to the medical kit contents of mountain climbers in Colorado. : To provide medical kit recommendations for short mountain wilderness recreation trips (hiking, trekking, backpacking, mountaineering etc.) based on the epidemiology of injury and illness sustained and best treatment guidelines. El KED-XT provoca, en comparación al KED, un 8% menos de disminución de la CVF (p<0,048).Ĭonclusiones: Los KED convencionales provocan más efectos indeseados en cuanto a la restricción respiratoria que los nuevos KED-XT (19 % vs 12 % de la CVF), posiblemente relacionado con el diseño de fijaciones oblicuas que no comprimen tanto el abdomen. Resultados: Los resultados obtenidos, para la variable principal, muestran una disminución del 19% de la CVF-D KED (3,37 ± 1,13 L) con respecto a los resultados de CVF-A (4,16 ± 1,52 L), con una diferencia de medias 0,79 y una disminución del 12% de la CVF-D con el KED-XT (3,67 ± 1,38 L), con una diferencia de medias 0,48. La variable principal del estudio fue la capacidad vital forzada (CVF-A y CVF-D). Se realizaron espirometrías, a 50 voluntarios sanos, antes (A) y después (D) de la aplicación (durante 5 min) del dispositivo, con un intervalo de 10 min de descanso entre cada uno. Metodología: Diseño cuasiexperimental de simulación clínica para comparar la restricción respiratoria ocasionada por un KED convencional y un nuevo diseño, Ferno-XT® (KED-XT). To view Dr.Objetivo: Analizar las variaciones en la ventilación pulmonar provocadas en sujetos sanos sometidos a la inmovilización mediante dos modelos del Kendrick Extrication Device (KED). Stiell is a Member of the Institute of Medicine of the U.S. Stiell is the Principal Investigator for 1 of 3 Canadian sites in the Resuscitation Outcomes Consortium (ROC) which is funded by CIHR, NIH, HSFC, AHA, and National Defence Canada. He is best known for the development of the Ottawa Ankle Rule, the Canadian C-Spine Rule, and Canadian CT Head Rule and as the Principal Investigator for the landmark OPALS Studies for prehospital care. He is internationally recognized for his research in emergency medicine with a focus on the development of clinical decision rules and the conduct of clinical trials involving acutely ill and injured patients treated by prehospital services and in emergency departments. Ian Stiell, MD, MSc, FRCPC, is Professor and Chair, Department of Emergency Medicine, University of Ottawa Distinguished Professor and University Health Research Chair, University of Ottawa Senior Scientist, Ottawa Hospital Research Institute and Emergency Physician, The Ottawa Hospital.

Canadian c spine rules trial#

The lone trial with a sensitivity of 90% was in a study where nurses were trained to apply the rule (retrospective review by investigators in this study found the rule was misapplied in 4 cases with obvious high-risk features) it has also been successfully evaluated in paramedics.Some practice environments might be concerned with identifying any cervical spine injury (CCR is highly sensitive for clinically important c-spine imaging.) The quoted sensitivities are all for CSI.The rule can be used in patients who are intoxicated if the patients are alert and cooperative, the rule can be used regardless of blood alcohol content.Most common criticism is that the CCR is difficult to memorize due to its multiple criteria use of a smartphone app or digital reference (like MDCalc) is recommended.Not all patients in the validation study underwent imaging if the treating physician felt the patient was at very low risk of injury.Subsequent studies have found a sensitivity of 90-100% for CSI with majority finding 99-100% sensitivity.Applying the Canadian C-Spine Rule would allow healthcare providers to safely decrease the need for imaging among this patient population by over 40%.CCR is highly sensitive for CSI, with the majority of studies finding it catches 99-100% of these types of injuries.The Canadian C-spine Rule (CCR) was developed to help physicians determine which trauma patients need c-spine imaging.