A 17-year-old boy is brought to the ED after a motor vehicle collision. He is alert (GCS 15) with neck pain but no neurological deficits and stable vi...

Question

A 17-year-old boy is brought to the ED after a motor vehicle collision. He is alert (GCS 15) with neck pain but no neurological deficits and stable vital signs. There is no intoxication or distracting injury. According to the Canadian C-Spine Rule, which factor allows clinical clearance of the cervical spine without imaging?

Accepted Answer

Ability to actively rotate neck 45 degrees left and right after assessment of low-risk factors

Answer

High-risk mechanism such as fall from >1 m

Answer

Age ≥65 years

Answer

Presence of paraesthesia in extremities

Answer

Inability to sit in the emergency department

ca-mccqe1 MCQ (SBA): Cervical spine clearance