William Ngatchou, Department of Cardiac Surgery and Emergency medicine St Pierre Hospital, Brussels, Belgium William Ngatchou 1,&, Jeanne Beirnaert 2, Daniel Lemogoum 3, Cyril Bouland 2, Pierre Youatou 2, Ahmed Sabry Ramadan 2, Regis Sontou 4, Maimouna Bol Alima 5, Alain Plumaker 2, Virginie Guimfacq 6, Claude Bika 7, Pierre Mols 2ġDepartment of Emergency and Cardiac Surgery, St Pierre University Hospital, Université Libre de Bruxelles, Belgium, 2Department of Emergency St Pierre University Hospital, Université Libre de Bruxelles, Belgium, 3Department of Cardiology, Erasme University Hospital, Université Libre de Bruxelles, Belgium, 4Department of Radiology, St Pierre University Hospital, Université Libre de Bruxelles, Belgium, 5Department of Cardiac Surgery, St Luc University Hospital, Université Catholique de Louvain, Belgium, 6Department of Cardiology, Ixelles University Hospital, Université Libre de Bruxelles, Belgium, 7Université de Douala, Cameroun
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Īpplication of the Canadian C-Spine rule and nexus low criteria and results of cervical spine radiography in emergency condition Application of the Canadian C-Spine rule and nexus low criteria and results of cervical spine radiography in emergency condition. This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Ĭite this article: William Ngatchou et al. Keywords: Cervical spine X-ray, emergency, quality
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Widespread implementation of the rule for use by nurses throughout Canada and elsewhere would diminish patient discomfort and improve patient flow in overcrowded emergency departments.Original article | Volume 30, Article 157, | 10.11604/pamj.2018.30.157.13256 Application of the Canadian C-Spine rule and nexus low criteria and results of cervical spine radiography in emergency condition William Ngatchou, Jeanne Beirnaert, Daniel Lemogoum, Cyril Bouland, Pierre Youatou, Ahmed Sabry Ramadan, Regis Sontou, Maimouna Bol Alima, Alain Plumaker, Virginie Guimfacq, Claude Bika, Pierre MolsĬorresponding author: William Ngatchou, Department of Cardiac Surgery and Emergency medicine St Pierre Hospital, Brussels, Belgium The authors found that the use of the c-spine rule by nurses in the emergency departments was accurate, reliable and clinically acceptable. "We believe that nurses should be able to safely evaluate alert and stable ambulance patients and "clear" the c-spine of low-risk cases on arrival at the triage station." Ian Stiell, Department of Emergency Medicine, University of Ottawa, Ottawa Hospital Research Institute, and coauthors. "Nurses usually do not evaluate the c-spine of trauma patients and normally triage all immobilized patients to the ED resuscitation room," write Dr. It was conducted in six Canadian emergency departments and involved trauma patients who were alert and had stable conditions. The study was conducted to evaluate the accuracy, reliability and acceptability of the Canadian c-spine rule when used by nurses for the purpose of assessing the need for immobilization. This delay also crowds emergency departments and takes up valuable time of physicians, nurses and technicians. Immobilization is often unnecessary and causes the patient considerable discomfort. Nurses in the emergency department are responsible for these patients during initial triage, after which patients are immobilized for hours while waiting for physician assessment and radiography. Most of these patients are alert and their conditions stable. If nurses were also able to follow this clinical decision rule, it could improve trauma care efficiency in Canadian hospitals.Ĭanadian emergency departments annually treat 1.3 million patients with blunt force trauma from falls or vehicle accidents and who are at risk of injury to the cervical spine. It was designed to help physicians "clear" the c-spine without radiography and to decrease immobilization time. A clinical decision rule called the Canadian C-spine rule, which helps clinicians with diagnostic or therapeutic decisions, was previously developed for c-spine evaluation.