Guideline for clearing the cervical spine in the unreliable pediatric patient

C-spine: cervical spine; CT: computed tomography; LOC: level of consciousness; MRI: magnetic resonance imaging.

* Unconscious or decreased level of consciousness with Glasgow Coma Scale score <15.

¶ Change to long-term cervical spine collar as soon as appropriate.

Δ Consider thoracolumbar spine injury in those with a documented cervical spine injury.

Reproduced with permission from: Chung S, Mikrogianakis A, Wales PW, et al. Trauma Association of Canada Pediatric Subcommittee National Pediatric Cervical Spine Evaluation Pathway: Consensus Guidelines. J Trauma 2011; 70:873. Copyright © 2011 Lippincott Williams & Wilkins.

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Guideline for clearing the cervical spine in the unreliable pediatric patient