Cite this post as:
Scott Weingart, MD FCCM. EMCrit Wee – More on C-Spine Imaging. EMCrit Blog. Published on February 17, 2012. Accessed on January 20th 2025. Available at [https://emcrit.org/emcrit/more-on-c-spine-imaging/ ].
Financial Disclosures:
The course director, Dr. Scott D. Weingart MD FCCM, reports no relevant financial relationships with ineligible companies. This episode’s speaker(s) report no relevant financial relationships with ineligible companies unless listed above.
CME Review
Original Release: February 17, 2012
Date of Most Recent Review: Jul 1, 2024
Termination Date: Jul 1, 2027
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Hi Scott. I spent my first 4 years post fellowship in a town with no CT, lots of young guys on speed with fast cars and necks like rugby players! Long story short = lots of c spine injuries with impossible plain films! Here is how we played it – if you had a good mechanism, any midline pain, distracting injury, or are not cooperative – then you got flown out strapped to a spine board. I often passed on plain films as they just didn’t change the plan. Expensive – yes. Inconvenient- sure. But…. This is a scenario where… Read more »
Patients get CT scans of the cervical spine (and head) at our ER for anything. One patient I saw got a cervical (and head) CT after hitting her head on an LCD TV; another patient literally slid out of a wheelchair and got the same diagnostic workup.
wow, that is taking it to the extreme
“slid out of her wheelchair”
Did she already have a spinal injury?
It’s interesting to compare Casey and drrjv’s situations – one get’s a CT at the drop of a hat…the other has to make difficult decisions necessitating transfers of hundreds of kilometres.
Great debate