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This adds to patient discomfort, occupies valuable acute ED space and can contribute to crowding. However, they still can remain in c-spine precautions for a long time waiting to be assessed. There are protocols to get blunt trauma patients off spine boards urgently. They remain this way often complaining to the nurse until they can be assessed by a physician and have their c-spine cleared. The vast majority of these patients (>99%) do not have a fractured cervical spine diagnosed.Д«lunt trauma patients transported via EMS often arrive on a backboard, c-collar and head restraints. This can be done clinically using the Canadian C-Spine Rules/Tools or with imaging. She is worried she may have a serious injury to her neck.Д«ackground: Clearing the c-spines is a regular activity in the emergency department (ED). She went to work all day as she thought she was unhurt initially, but pain has started to set in so she stopped by the emergency department on the way home complaining of right wrist and neck pain and stiffness all over. Case 2:В A 45-year-old female presents to triage at 20:30 walking stating that she fell from a chair this morning.The patient complains of left shoulder and neck pain.

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The driver of the car that hit him was texting and did not appear to slow before striking the rear of the patientвЂ™s car at about 50 km/hr. He was a belted driver with no past medical history and GCS 15. Case 1:В A 51-year-old male patient presents to triage in a collar on a back-board via EMS following a rear-end motor vehicle collision (MVC) at a stop light.Guest Skeptic:В Alison Armstrong is an Emergency Department Nurse, TNCC Course Director, Trauma Program Coordinator and Canadian C-Spine Rule Nurse Champion.Д¬ase : There are two case scenarios this week to try and capture the two common ways patients present to the triage nurse. A Multicenter Program to Implement the Canadian C-Spine Rule by Emergency Department Triage Nurses.