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Tuesday, August 21, 2018

Cervical Spine in the Intoxicated

R.E:B.E.L.EM - August 16, 2018 - By Joseph Levin
Article: Martin MJ et al. Cervical spine evaluation and clearance in the intoxicated patient: A prospective Western Trauma Association Multi-Institutional Trial and Survey. J Trauma Acute Care Surg 2017;83:1032-40. PMID: 28723840
"Author’s Conclusions:
“For intoxicated patients undergoing [cervical spine] imaging, CT scan was highly accurate and reliable for identifying clinically significant spine injuries. CT-based clearance in intoxicated patients appears safe and may avoid unnecessary prolonged immobilization.”
Clinical Bottom Line:
For intoxicated patients with a negative cervical spine CT and a non-focal neurologic evaluation, there appears to be little benefit to maintaining prolonged immobilization. Patients should have their neuro examination reassessed when clinically sober."